School and Child Care Information Idaho Department of Health and 2025

1. Click ‘Get Form’ to open the School and Child Care Information Idaho Department of Health form in the editor.
2. Begin by entering the child's name in section A. Ensure you include the last, first, and middle names as required.
3. Next, input the date of birth in the specified format (Month/Day/Year) to accurately document the child's age.
4. In section B, circle the dose numbers for any overdue vaccines. Refer to the list provided to ensure all necessary immunizations are accounted for.
5. Proceed to section C where you will enter dates for the last doses received and due dates for upcoming doses for each overdue vaccine. Check any missing vaccines as applicable.
6. Finally, both the childcare facility operator and parent/guardian must sign and date at the bottom of the form, confirming understanding and compliance with vaccination requirements.

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