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Blank vaccine record forms 2025

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The document is a Childhood Immunization Record that outlines the immunization schedule for children, detailing various vaccines, their recommended ages, doses, and notes on administration. It emphasizes the importance of keeping accurate records for school enrollment and future medical needs, while also advising parents to consult with their child's doctor regarding any missed doses or additional vaccinations based on health conditions or travel. The information is based on guidelines from health organizations and includes a reminder to maintain updated records.

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Click ‘Get Form’ to open the blank vaccine record form in the editor.
Begin by entering your child's name in the designated field at the top of the form. This personalizes the record and ensures accurate documentation.
Fill in your child's birthday and age, which are crucial for tracking immunization schedules based on age-specific recommendations.
In the immunization section, carefully input each vaccine received along with the corresponding dates. Ensure you follow the recommended schedule for each vaccine listed.
Utilize the notes section to document any additional information or reactions related to vaccinations, providing a comprehensive health overview.
Once completed, save your document securely. You can easily print or share it as needed for school or medical appointments.

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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 do I get a FL 680 form?

Electronic DH Form 680 Patients can now log on to our secure server directly and print electronically certified copies of DH Form 680 from their home computers, if their health care provider is a participating physician and provides them with the State IMM Id and Certification PIN of their childs DH Form 680.

What is the quickest way to get immunization records?

How to Contact Your Jurisdictions IIS contact the IIS in your state or in the state where you or your child received their last shots to see if they have records. contact your immunization provider directly or your local or state immunization program through your states health department.

What is an example of proof of vaccination?

A record from a healthcare providers medical record system (including a patient portal) that is either a: Vaccine Administration Record from the facility where the vaccine was administered that includes the: Vaccine administered. Vaccination date.

What counts as immunization records?

Photocopies of immunization records from a licensed healthcare provider or clinic, or from a California K-12 school uploaded to My Health Portal. All records must show the vaccine type, dose, and date of each shot.

Is a printed copy of the certificate of immunization acceptable?

The IIS only accepts medically verified vaccination dates into the system. Therefore, any CIS printed directly from the IIS is medically verified. No additional parent or health care provider signature is needed to verify the accuracy of the information. There are two versions of a CIS that prints from the IIS.

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Does my high school still have my immunization records?

Most schools keep vaccination records on file. Schools may keep records for a year or two after a student leaves or graduates. Contact your childs school for more information.