imMTrax Forms

Note: All imMTrax access request processes have changed to an electronic request form. At this time, paper access request forms are no longer accepted. Please see the imMTrax Forms tabs of imMTrax New User / Change Employer Access Form, imMTrax User Permissions Change Access Form, and imMTrax Access Deletion Form for more information about imMTrax access request workflows.
 
Before accessing the imMTrax access request forms, you MUST have an Okta account. If you do not have an Okta account, follow the Create Okta User Account Guide to set up an Okta account. Prospective new users will also need their own Okta account to access the imMTrax User Agreement form. 
Please do not attempt to open the forms in an iPhone or other Apple device. The forms cannot be filled out in Apple’s Safari browser.



Need to reset your imMTrax password?
Please call 1 (406) 444-5580
Monday - Friday, 8am-5pm (MST)

To apply for imMTrax user access for a new employee, please have a supervisor submit an electronic access request at link below and choose a Request Type of New Access . If an employee had imMTrax access when working for a different employer, a supervisor at their new employer needs to submit the electronic request form below to authorize that employee's access to their new employer's imMTrax data and choose a Request Type of Change Employer.

imMTrax Access Request Form (electronic form)

Follow the instructions in the Instructions Guide Electronic imMTrax Access Request Form for steps to request imMTrax access using the new electronic ServiceNow forms. 

With the electronic access request process, supervisors need to submit the initial imMTrax access request for new staff.    The electronic process is comprised of two parts. The first part requires the supervisor to submit a request for access on behalf of the new employee. Upon submission of the initial imMTrax Access Request form, the new employee will receive a link to complete their  required imMTrax user agreement before login credentials will be sent. 

The role descriptions below can assist you in determining what access role best fits your system workflow needs.  For questions regarding appropriate access levels for individual imMTrax users, contact the Montana Immunization Program at (406) 444-5580.

Access Levels

  1. Read Only with Consent - Search, View, Print, and Update imMTrax Consent Status
  2. Record Maintenance - Search, View, Print, Update and Add Patient Information and Add Immunizations
  3. Vaccine Mgmt - Search, View, Print, Update/Add Client Information, Add Immunizations, and vaccine lot management (VOMS 2.0)

To apply for different user permissions for an employer you already have imMTrax access under, please have a supervisor submit the form below and choose Request Type of User Permissions Change. If you have changed jobs and moved to a new employer, please have your supervisor at your new employer follow the instructions in the imMTrax New User / Change Employer section to transfer your imMTrax access to your new work location.


imMTrax User Permissions Change Request Form (electronic form)

 

It is each imMTrax provider's responsibility to let the Montana Immunization Program know when a user has left employment, changed positions, and will no longer need imMTrax access. To notify the Montana Immunization of an employee whose imMTrax access needs to be inactivated, please fill out the form below.
 
Request Access Deletion Form