Or immunization 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your child's complete information, including their first and last name, middle initial, birthdate, and current mailing address. This ensures accurate communication regarding immunization history.
3. In the 'Required Vaccines' section on the front page, fill in the dates (mm/dd/yy) for each vaccine dose received by your child. Ensure that doses are listed in the order they were administered.
4. On the back side of the form, complete the 'Recommended Vaccines' section similarly by entering dates for any additional vaccines your child has received.
5. Sign and date the form at the bottom to certify that all provided information is accurate. Remember to re-sign if you add more details later.
6. If applicable, check boxes for any medical or nonmedical exemptions and provide necessary documentation as specified.

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