Registro de vacunacin del alumno Pupil Immunization Record - Minnesota Dept of Health Spanish version of the record for immunizations or exemptions required to attend school in Minnesota 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the student's name, date of birth, and student number in the designated fields at the top of the form.
3. Indicate the vaccination status by selecting one of the options provided: complete, in process, medical exemption, or conscientious objection. Ensure you fill in any necessary details as prompted.
4. For each vaccine type listed, enter the dates received for each dose in the corresponding fields. Remember to include any shaded boxes if applicable.
5. Complete the certification section at the bottom by signing and dating it. This confirms that all information provided is accurate.
6. If applicable, fill out consent for sharing vaccination records with Minnesota's registry and sign accordingly.

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