Statewide Immunization Online Network

SIMON Onboarding

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By selecting the ""Click To Accept"" button you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your mutual signature on this Agreement.

(If No, signature of Legal Signature Authority is required.) Please download the SIMON Terms of Use document and select the Submit Registration button to complete your registration. Before your registration can be approved, this form must be completed with Provider, Senior Prescribing Authority and Legal Signature Authority information. You will receive an email with a link to return to this page to upload the completed document.

SIMON Terms Of Use

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SIMON User Confidentiality Agreement

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