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Click ‘Get Form’ to open the CDPH 8018 in the editor.
Begin by entering the type of facility, county, phone number, center name, address, and license number in the designated fields.
For children under 2 years of age, note that they should not be included in the subsequent sections but ensure their immunization records are up-to-date.
In the Vaccine Dose Summary section, input the total number of children aged 2 to 4 years and their corresponding vaccine doses for Polio, DTP/Td/TD, MMR, Hib, Hep B, and Varicella.
Complete the Exemptions section by indicating how many children have medical or personal belief exemptions. Ensure that Row 2b equals Row 2b(i) + 2b(ii) + 2b(iii).
Fill out the Summary section by calculating the number of children needing follow-up and those who do not. Confirm that these totals match your enrollment figures.
Finally, submit a copy of this report to your local health department's Immunization Coordinator before October 1st.

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2014	4.7 Satisfied (90 Votes)

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