Wi care immunization record 2026

1. Click ‘Get Form’ to open the wi care immunization record in the editor.
2. Begin by filling out the Personal Data section. Enter your child's name, date of birth, and contact information. Ensure all details are accurate and clearly printed.
3. Move to the Immunization History section. For each vaccine listed, input the exact dates your child received them. Use the provided fields for first through fifth doses, ensuring you do not mark with a check or X except for chickenpox.
4. Review the Requirements section carefully. Check that your child's immunizations meet state requirements based on their age. If any doses are missing, note this in the Compliance Data and Waivers section.
5. Finally, sign and date the form in the Signature section to confirm its accuracy before submitting it back to your child care center.

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