Home
Forms Library
California immunization card pdf

Immunization form for school 2025

california immunization card pdf Preview on Page 1

See details

4.9 out of 5

49 votes

The California School Immunization Record is a document that tracks a student's immunization history and is part of their permanent record. It must be completed by school or childcare personnel based on information provided by the parent or guardian. The form includes sections for personal details, vaccination dates, and status of immunization requirements, including exemptions for medical or personal beliefs. Local health departments have access to this record to ensure compliance with state immunization laws.

Here's how it works

01. Edit your california immunization card pdf online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send california immunization blue card printable via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out immunization form for school with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the immunization form in the editor.
Begin by entering the student's name, sex, birthdate, and place of birth in the designated fields. Ensure accuracy as this information is crucial for record-keeping.
Next, fill in the parent or guardian's name, race/ethnicity, and contact details including daytime and nighttime telephone numbers.
Document each vaccine received by entering the date for each dose under the appropriate vaccine category. Make sure to follow any specific instructions regarding date formats.
Review the status of requirements section. Check if all immunization requirements are met or if follow-up is needed based on local health guidelines.
Finally, sign and date the form as a staff member verifying that you have accurately transcribed the immunization records presented by the parent or guardian.

Start using our platform today to easily complete your child's immunization form online for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How to get a religious exemption for school vaccines?

There are a number of ways that someone can prove strongly held religious beliefs that getting the vaccine would contradict. Writing a formal letter requesting exemption. Getting a close friend, family member or fellow member of the clergy to write a letter. Filling out and submitting a religious exemption request form:

Can a child attend school without vaccines in Georgia?

Rule 511-2-2-. A parent or guardian must submit a valid Certificate of Immunization for any child entering a school or childcare facility in the state of Georgia for the first time.

What immunizations are required for school in Pennsylvania?

For attendance in all grades, students need the following: 4 doses of tetanus, diphtheria, and acellular pertussis. 4 doses of polio. 2 doses of measles, mumps, and rubella. 3 doses of hepatitis B. 2 doses of varicella (chickenpox) or evidence of immunity.

What states have mandatory vaccines for school?

Only two states (California and Illinois) require, based on state-level decisions, that students of a certain age are vaccinated to attend school.

What is an immunization form?

Vaccination records (sometimes called immunization records) provide a history of all the vaccines you or your child received. This record may be required for certain jobs, travel abroad, or school registration. Adult Vaccination Records.

immunization card pdf

immunization form (pdf) Immunization form for College Immunization form template Standardized Immunization Form How to fill AAMC immunization form Immunization record form download Blank immunization form AAMC Standardized immunization form Reddit

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

Does Georgia require immunizations for school?

Georgia law requires children attending a school or a childcare facility be protected from certain vaccine-preventable diseases. Parents will need to provide Georgia Immunization Certificate (Form 3231) to their childs school or child care to show their child has been vaccinated against certain preventable diseases.

What vaccines are required for daycare in Georgia?

Georgia law requires that all children who attend child care and enter school be protected against these diseases: diphtheria, hepatitis A, hepatitis B, Hib, measles, mumps, rubella, pertussis, tetanus, varicella (chickenpox), polio, and pneumococcal disease.

What shots are required for school in Nebraska?

Parents and/or guardians must provide an immunization record for each child verifying age-appropriate immunization against the following diseases: Polio. Diphtheria, Tetanus, Pertussis. Hepatitis B. Pneumococcal. Measles, Mumps, Rubella. Varicella (chickenpox) or documentation of disease

Immunization form for school 2025

Here's how it works

How to use or fill out immunization form for school with our platform

Complete this form in 5 minutes or less

Got questions?

How to get a religious exemption for school vaccines?

Can a child attend school without vaccines in Georgia?

What immunizations are required for school in Pennsylvania?

What states have mandatory vaccines for school?

What is an immunization form?

Complete this form in 5 minutes or less

People also ask

Does Georgia require immunizations for school?

What vaccines are required for daycare in Georgia?

What shots are required for school in Nebraska?

california immunization record pdf

Try more PDF tools