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welcome to step five of the immunization reporting process in this step you will be collecting newly updated immunization records canceling exclusion orders and filling out section d on page 2 of the primary review summary once parents receive exclusion orders they have until exclusion day about two weeks later to get their kids up to date and provide you with an updated record parents must provide either an updated immunization record showing their child is now up to date on their shots or a valid exemption to update an immunization record parents can bring you a signed and dated exclusion order showing that the child received the missing vaccines or parents can update their childs cis form on record by adding the date of the shot and re-signing the form a valid non-medical exemption requires both assigned and dated cis form with exempted vaccines marked and a vaccine education certificate obtained from their health care provider or the online video education series once youve recei