Fillable Online Immunization Worksheet for Pre-k Day Care for 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the name and date of birth for each child in Column 1. Ensure accuracy as this information is crucial.
3. In Column 2, mark an 'X' for children without an immunization record. Remember, these children should not be counted in subsequent columns.
4. For Columns 3 and 4, indicate any medical or religious exemptions by placing an 'X' in the respective boxes.
5. Proceed to Columns 5 through 13, marking an 'X' for each child who has received the appropriate vaccinations as per age requirements.
6. In Column 14, tally those completely immunized based on previous columns. Ensure this number does not exceed counts from Columns 5 through 13.
7. Finally, review your entries and ensure all totals are accurately calculated before saving your document.

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