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Get the free Child Care Immunization Report - Minnesota Dept. of Health. Report form for child ca...

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2018 Child Care Immunization Report Child care center name:MPH use only Date received: Date entered in MIMIC:Street address:City:ZIP code:Person completing report:Phone number:DHS license #:Title:Center
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How to fill out child care immunization report

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How to fill out child care immunization report

01
To fill out a child care immunization report, follow these steps:
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- Start by gathering all the necessary information, such as the child's full name, date of birth, and contact information.
03
- Make sure you have the child's immunization record or access to the records.
04
- Begin filling out the report by entering the child's personal information, including name and date of birth.
05
- List all the required immunizations in the appropriate sections, along with the dates each immunization was administered.
06
- Provide any additional information or comments required by the specific child care facility or state guidelines.
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- Double-check all the entered information for accuracy and completeness.
08
- Submit the completed child care immunization report to the relevant child care facility or authority.

Who needs child care immunization report?

01
Anyone who is enrolling a child in a child care facility, such as parents or legal guardians, needs a child care immunization report.
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Child care immunization report is a document that outlines the immunization status of children in a child care setting.
Child care providers and facilities are required to file child care immunization reports.
Child care immunization reports can be filled out by providing information on each child's immunization history and status.
The purpose of child care immunization report is to ensure that children in child care settings are up-to-date on their immunizations to prevent the spread of vaccine-preventable diseases.
Child care immunization reports must include each child's name, date of birth, immunization history, and current immunization status.
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