Get the free Child Care Immunization Form - c-ischoolsorg

Minnesota's law requires children enrolled in child care to be immunized against certain diseases or file a legal medical ...

How to fill out child care immunization form

How to fill out child care immunization form:

1. Obtain the child care immunization form from the child care provider or download it from their website.
2. Provide the child's personal information such as their full name, date of birth, and address.
3. Fill in the section that requires the parent or guardian's information, including their name, contact number, and relationship to the child.
4. Indicate the child's medical history by answering questions about any allergies, chronic conditions, or previous immunizations.
5. Record the child's vaccination history by providing the dates and types of vaccines they have received. Include the name of the vaccine, lot number, and the healthcare provider who administered it.
6. If the child has not received certain vaccinations, provide an explanation or attach any necessary documentation, such as a medical or religious exemption.
7. Sign and date the form, indicating that the information provided is accurate and complete.
8. Submit the completed child care immunization form to the child care provider before the child's first day of attendance.

Who needs child care immunization form:

1. Any child who is enrolling or attending a child care facility or program typically needs a child care immunization form.
2. This form is required to ensure that the child meets the immunization requirements set by the child care provider, as well as state or local health departments.
3. The child care immunization form serves as a record of the child's immunization status and medical history, helping to protect the health and safety of all children in the facility.

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