California Pre-Kindergarten and School Immunization Record 2026

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The document outlines the California Pre-Kindergarten and School Immunization Record requirements, detailing the necessary vaccine doses for pupil admission to pre-kindergarten, transitional kindergarten/kindergarten through 12th grade, and 7th grade. It includes guidance on recording immunization information, managing exemptions, and ensuring compliance with state regulations regarding student health records.

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Click ‘Get Form’ to open the California Pre-Kindergarten and School Immunization Record in the editor.
Begin by filling out the pupil's identification section, including their name, Statewide Student Identifier (SSID), ethnicity, parent/guardian's name, birthdate, and gender.
Next, complete the vaccine and dose section. Enter the date each dose was given using the format MM/DD/YY. Ensure you include all doses received, even if there are exemptions.
Check any applicable boxes for Permanent Medical Exemptions and fill in dates for 'Date Requirements Met' as necessary based on the pupil’s immunization record.
In the Status of Requirements section, enter staff initials and check appropriate boxes indicating whether all required doses have been met or if follow-up is needed.

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Versions	Form popularity	Fillable & printable
2023	4.2 Satisfied (59 Votes)
2014	4.8 Satisfied (50 Votes)
2002	4.4 Satisfied (520 Votes)

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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 my childhood immunization records in California?

Looking for Your Immunization Record? Visit the Digital Vaccine Record portal to download a copy of your immunization record from CAIR.

Does Colorado have an immunization registry?

The Colorado Immunization Information System (CIIS) is a lifelong immunization record tracking system under the Colorado Immunization Registry Act of 2007. CIIS has signed agreements with all participating sites that are authorized to provide information to or access information from CIIS.

What immunizations are required for preschool in California?

Total Number of Doses Required of Each Immunization2,3. 2 through 3 months. 1 Polio. 1 DTaP. 1 Hep B. 1 Hib. 4 through 5 months. 2 Polio. 2 DTaP. 2 Hep B. 2 Hib. 6 through 14 months. 2 Polio. 3 DTaP. 2 Hep B. 2 Hib. 15 through 17 months. 3 Polio. 3 DTaP. 2 Hep B. 1 Varicella. On or after the 1st birthday: 1 Hib4. 1 MMR.

Does Ohio have an immunization registry?

The goal of the Ohio Department of Health (ODH) Immunization Program is to reduce and eliminate vaccine-preventable diseases among Ohios children, adolescents and adults. To assist in docHubing this goal, ODH developed a web-based statewide immunization registry.

How can I find my old immunization records?

visits you made to local public health departments or neighborhood clinics. When physicians retire or a medical practice changes hands, old patient records may be sent to a medical record storage company. You may be able to obtain records directly from the company for a fee. baby books and school or camp forms.

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Are vaccination records public information?

HIPAA vaccine records law is found within the HIPAA Privacy Rule. Under the Privacy Rule, VFC providers may share patient PHI with public health authorities. The Privacy Rule permits disclosures to public health authorities for the purpose of preventing or controlling disease, injury, or disability.

How can I find my old vaccination records?

have centralized registries of vaccine records. These may not include all ages or all records, but this is a good place to check. The Centers for Disease Control and Prevention (CDC) lists registry contacts and websites at .cdc.gov/vaccines/programs/iis/contacts-locate- records.