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CHILD CARE IMMUNIZATION RECORD WAIVER Please check the appropriate box below, sign and return this form to the Child Care Branch. Although my child has not received all the required doses of vaccine

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How to fill out a child care immunization record:

1. Gather the necessary information: Before filling out the child care immunization record, make sure you have all the required information at hand. This includes the child's full name, date of birth, and contact information.
2. Record the child's personal details: Start by filling out the child's personal information section on the form. This usually includes details such as the child's name, address, and telephone number. Double-check that all the information is accurate and up to date.
3. Document the immunization history: The main purpose of the child care immunization record is to track the child's immunization history. In this section, record all the relevant vaccinations the child has received. Include the name of the vaccine, the date it was administered, and the dosage given.
4. Specify the healthcare provider: Fill in the section where you provide the name and contact information of the healthcare provider who administered the vaccinations. This information may include the name of the doctor or clinic, their address, and their phone number.
5. Update any additional information: Some child care immunization records may have additional sections to fill out, such as any allergies or medical conditions the child may have. If so, make sure to provide any necessary information accurately.
6. Sign and date the form: Once you have completed all the required sections, sign and date the child care immunization record. This indicates that the information provided is accurate and up to date.

Who needs a child care immunization record:

1. Parents/Guardians: Parents or legal guardians of a child are typically responsible for obtaining and maintaining the child care immunization record. It serves as an official document that shows the child's immunization history, which can be required by schools, daycare centers, and other child care facilities.
2. Child care providers: Child care providers, including schools, daycare centers, preschools, and babysitters, often require a copy of the child care immunization record. This helps ensure that the children in their care are up to date with their vaccinations, promoting a safe and healthy environment.
3. Healthcare professionals: Healthcare professionals, such as doctors, nurses, and pediatricians, may also need access to a child care immunization record. It assists them in providing appropriate care and ensures that the child's vaccinations are up to date.

Overall, the child care immunization record is an essential document that is required by various individuals and organizations involved in the care and well-being of children. It helps track immunization history, promotes public health, and ensures the safety of children in child care settings.

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What is child care immunization record?

Child care immunization record is a document that contains information about the vaccines received by a child in a child care setting.

Who is required to file child care immunization record?

Parents or guardians of children attending a child care facility are required to file the child care immunization record.

How to fill out child care immunization record?

To fill out the child care immunization record, parents or guardians must provide information about the child's vaccination history, including the type of vaccine, date of administration, and healthcare provider.

What is the purpose of child care immunization record?

The purpose of child care immunization record is to ensure that children attending child care facilities are properly vaccinated to prevent the spread of communicable diseases.

What information must be reported on child care immunization record?

The child care immunization record must include the child's name, date of birth, vaccination history, healthcare provider information, and any exemptions or waivers.