Schedule of Intended Immunizations Form - Health and Welfare - sdhdidaho 2026

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Definition and Use of the Schedule of Intended Immunizations Form

The "Schedule of Intended Immunizations Form - Health and Welfare - sdhdidaho" is a critical document used primarily in Idaho to ensure children meet the immunization requirements for conditional attendance at childcare facilities. This form records the types of immunizations a child has received, the corresponding dates, and whether they are on schedule for future doses. It serves as an official record to comply with state health mandates, verifying that children have received at least one dose of each required vaccine and are slated to receive subsequent doses as needed.

How to Use the Schedule of Intended Immunizations Form

To use the form effectively, follow these steps:

  1. Identify Required Immunizations: Determine the specific vaccines mandated by Idaho for childcare attendance. These include vaccines for diseases such as measles, mumps, rubella, and others as prescribed by the state's health office.

  2. Document Immunization Information: Accurately record each immunization the child has received, noting the type and date of each dose. Ensure that all required vaccines are listed.

  3. Certification: Both the childcare official and the child's parent or guardian must complete relevant sections. This certification confirms that the child is up-to-date or following the scheduled plan for vaccinations.

  4. Submission: Provide the completed form to the childcare provider who will retain it as part of the child’s health record.

Steps to Obtain the Schedule of Intended Immunizations Form

The form can be obtained through:

  • Local Health Departments: Visit a local health department office in Idaho. They typically have the forms available for download or physical pickup.

  • Childcare Facilities: Many childcare providers will supply the form upon enrollment or when updating health records.

  • Online Resources: Check the official Idaho Health and Welfare website for downloadable PDF versions of the form. This option allows for electronic completion and submission where available.

Key Elements of the Schedule of Intended Immunizations Form

Critical elements of the form include:

  • Child's Personal Information: Full name, date of birth, and enrollment information in the childcare facility.

  • Vaccine Information: Detailed entries for each vaccine, including type and date administered.

  • Parental/Guardian Consent: Section for parent or guardian to confirm their understanding and consent to the immunization process.

  • Healthcare Provider Certification: Part of the form need to be endorsed by a certified healthcare provider to ensure authenticity.

Who Typically Uses the Schedule of Intended Immunizations Form

This form is primarily utilized by:

  • Parents/Guardians: To ensure their children meet state immunization requirements for child care attendance.

  • Childcare Providers: For maintaining records that demonstrate compliance with health regulations, safeguarding public health within their facilities.

  • Health Officials: To monitor and enforce state immunization standards as well as to evaluate public health trends over time.

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State-Specific Rules for the Schedule of Intended Immunizations Form

Idaho's specific guidelines include:

  • Age Requirements: Vaccines must be administered by specific ages to be valid for conditional attendance.

  • Conditional Attendance: Children may attend childcare if they have received at least one dose of each required vaccine and have scheduled further doses.

  • Exemptions and Extensions: Parental exemptions for personal beliefs or medical reasons have specific criteria and processes that must be followed.

Examples of Using the Schedule of Intended Immunizations Form

Consider scenarios such as:

  • New Childcare Enrollment: Parents complete the form to ensure their child is eligible to start attending a new child care facility.

  • Immunization Updates: As new doses are administered, the form is updated to reflect current immunization status and shared with childcare providers to maintain compliance.

Important Terms Related to the Schedule of Intended Immunizations Form

Understanding key terms helps in correctly completing the form:

  • Conditional Attendance: Temporary acceptance of a child into childcare based on partial immunization with a follow-up schedule.

  • Immunization Schedule: A timetable recommended by health authorities that lists optimal ages for vaccine doses.

Legal and Compliance Considerations

The form carries legal significance as it:

  • Ensures Compliance: Childcare facilities and parents adhering to the form's requirements help maintain public health standards.

  • Mitigates Legal Risks: Proper documentation can prevent potential fines or legal issues related to non-compliance with state health laws.

Providing this detailed information ensures the form is accurately completed, facilitating smooth transitions for children into childcare settings while supporting public health initiatives.

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Participation in IRIS is voluntary and you may opt out at any time by contacting the Idaho Immunization Program at 208-334-5995 and requesting an opt-out form, or by completing the online opt-out form.
Should students or student health offices complete the form? Students should complete the AAMC Standardized Immunization Form in conjunction with either the student health office at their medical school or with their primary care provider.
By following the recommended schedule and fully immunizing your child by 2 years of age, your child should be protected against 16 vaccine preventable diseases. Between 12 and 23 months of age, your child receives the following vaccines to continue developing immunity from potentially harmful diseases.
Idaho law allows a parent or guardian to claim an immunization exemption for their child for medical, religious, or other reasons. A medical exemption must be completed by a licensed physician, physicians representative, or another licensed healthcare professional.
The law bars Idaho businesses, government agencies, schools, and colleges from requiring any form of medical interventionincluding vaccinations, medical treatments, or diagnosesfor: Employment. Entry into facilities. Access to services.

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To enter or transfer into public, private, or parochial schools, all children in preschool and grades K-12 must provide immunization documentation or have an exemption on file (Idaho Statute 39-4801). Children who do not have all required immunizations but plan to get caught up may be conditionally enrolled.
Centers for Disease Control and Prevention (CDC) data shows the national MMR vaccination coverage rate among kindergarteners was over 92% for the 2024-25 school year -- in Idaho, it was around 78%, the lowest of any state in the country. The MMR vaccination rate in Idaho has fallen 10% since 2011.
(1) Except as provided in subsections (5) and (6) of this section, any child in Idaho of school age may attend preschool and kindergarten through grade twelve (12) of any public, private, or parochial school operating in this state if otherwise eligible, provided that, upon admission, the parent or guardian shall

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