Get Dhhs2900b

The Dhhs2900b form is an annual child care immunization report required by North Carolina law to ensure that all children in care are properly immunized. This guide will provide you with clear, step-by-step instructions on how to effectively complete the form online, ensuring compliance with legal obligations.

Follow the steps to complete the Dhhs2900b form online

1. Press the ‘Get Form’ button to access the Dhhs2900b form and open it in your editing environment.
2. Fill in the name of the child care facility and the facility license number at the top of the form.
3. For each child enrolled at the facility, enter their first name, last name, and date of birth in the respective fields. Only include children who are currently enrolled.
4. If applicable, indicate whether there is a medical exemption or religious exemption on file by selecting 'YES' or 'NO' in the designated columns.
5. Record the total number of doses for each vaccine category, including DTP, Polio, Hib, MMR, Hep B, and Varicella.
6. At the end of the report, ensure that both the operator/owner and the person preparing the report sign and date each page to validate the submission.
7. Once the report is filled out, save your changes, then download and print the document.
8. Mail the white copy to the Immunization Branch and the yellow copy to your local health department. Keep the pink copy for your records.

Complete your Dhhs2900b form online today to ensure your compliance with child immunization reporting.