Get Child Care Immunization Form - Minnesota Dept. Of Health. Form To Record Your Child's Immunizations

This guide provides comprehensive instructions on completing the Child Care Immunization Form from the Minnesota Department of Health. By following these steps, you will be able to accurately record your child's immunizations and ensure compliance with state requirements.

Follow the steps to complete your child's immunization record.

1. Press the ‘Get Form’ button to access the Child Care Immunization Form and open it in your preferred online editor.
2. Begin by entering the child's name and date of birth at the top of the form.
3. Fill in the date of enrollment to document when the child starts attending the child care.
4. Review the immunization requirements outlined in the form. Notice that Minnesota law mandates immunization for certain diseases or an exemption.
5. You have the option to attach a copy of your child's immunization history or directly enter the dates of the vaccines received in the designated fields.
6. For vaccines that are medically contraindicated, enter 'MED' and for those contrary to beliefs, use 'CO' in the respective sections.
7. Complete either section 1A or 1B to certify the child's immunization status. Section 1A is for children 15 months or older who have received all required immunizations.
8. If the child is younger than 15 months or has not received all required immunizations, fill out section 1B and include dates for upcoming doses.
9. To document any medical exemptions, complete section 2A and have a physician sign it.
10. For conscientious exemptions, fill out section 2B, ensuring it is completed by a parent or guardian and notarized.
11. Lastly, review the completed form for accuracy before saving your changes. You can then download, print, or share the form as needed.

Complete your Child Care Immunization Form online today to ensure your child's immunization records are up-to-date!