Personal Information Header

Last Name

This is the clients last name. Assign or change a last name by typing the desired name into the Last Name text box. *Note*

First Name

This is the clients first name. Assign or change a first name by typing the desired name into the First Name text box.

Mother's Maiden Last

This is the clients mother's (if married, client's) maiden last name. Assign or change the mother's maiden last name by typing the desired name into the Mother's Maiden Last text box.

Mother's First Name

This is the clients mother's first name. Assign or change the mother's first name by typing the desired name into the Mother's First Name text box.

Birth Date

This is the day on which the client was born. Assign or change the birth date by typing the desired date into the Birth Date text box using the format MM/DD/CCYY. Or, click on the calendar icon to set the date.

Please note that the system will not allow the changing of Birth Date to a date that is after existing immunizations. If such a date is entered, an error message will appear and the user will be expected to resolve the conflict with the existing immunizations via the edit immunization screen.

Middle Name

This is the clients middle name. Assign or change a middle name by typing the desired name or initial into the information field directly following 'Middle Name'.

Suffix

This is the clients' name suffix if applicable.  Assign or change the suffix by selecting one of the suffixes form the combination box directly following Suffix.

SSN

This is the client's nine-digit social security number. Assign a social security number by typing in the nine-digit number into the three information fields directly following 'SSN'.  SSN is a unique field.  You cannot assign the same SSN to two clients.  A validation error will display if you attempt to do this.  *Note*

Gender

This is the clients gender. Assign or change the gender by clicking on one of the three radio buttons directly following 'Gender'. If a gender type is not selected, the system will default to 'Unknown'.

County

This is the county where the client currently resides. Assign or change the county of residence by selecting one of the counties from the combination box directly following 'County'.

 Country of Birth

This is the country where the client was born.  Assign or change the country of birth by selecting one of the countries from the combination box directly following 'Country of Birth'.

Last Notice Date

This displays the last date that this client was reported against by a provider organization. 

Last Updated Date

This displays the last date that this client was entered or edited by a provider organization, as well as the name of the provider organization.

Last Name

WIR only accepts alpha characters, dashes, and apostrophes.

First Name

WIR only accepts alpha characters, dashes, and apostrophes.

Middle Name

WIR only accepts alpha characters, dashes, and apostrophes.

Mother's Maiden Last

WIR only accepts alpha characters, dashes, and apostrophes.

Mother's First Name

WIR only accepts alpha characters, dashes, and apostrophes.

SSN

WIR only allows numeric characters that do not repeat (999-99-9999. 111-11-1111, etc) or are sequential (123-45-6789, 987-65-4321, etc).  The system does not allow you to assign the same SSN to multiple clients.