Get Immunization Record Form - Knox County Schools - Knoxschools

Filling out the Immunization Record Form is an essential step for ensuring your child's school attendance and health compliance. This guide provides clear, step-by-step instructions on how to complete the form accurately and efficiently online.

Follow the steps to successfully fill out the Immunization Record Form.

1. Press the ‘Get Form’ button to access the Immunization Record Form and open it in the editor.
2. Begin by entering the identifying information for your child. Fill in their first name, middle name, last name, and birthdate. Next, provide the child's Social Security Number (SSN), followed by the parent or guardian’s name, phone number, and address, including street, city, state, and zip code.
3. Navigate to the required immunizations section. Here, you will see a list of vaccines your child must have received, along with the required doses for each vaccine. Ensure you have this information accurate as it is crucial for school enrollment.
4. Under the current immunization record section, record the date each vaccine was received. Use the format MM/DD/YY for clarity. You must list the dates for each vaccine and note any relevant details, such as your child's history of chickenpox if applicable.
5. Proceed to the certifications section. Confirm that your child has received the necessary immunizations or has an exemption. Fill out the required details including the medical provider's name and include their stamp or signature along with the date.
6. If applicable, provide information regarding any religious exemptions your child may have. Ensure that you attach the signed statement from the parents explaining how the immunization conflicts with their religious beliefs.

Complete your Immunization Record Form online today to ensure your child's health is documented and school ready.