Get Immunization In-process Form Immunizations Needed - Colorado.gov - Colorado

Filling out the Immunization In-Process Form is essential for ensuring your child meets the vaccination requirements for school or childcare attendance in Colorado. This guide will provide you with clear instructions to help you navigate the form effectively and ensure that your child's immunization records are up to date.

Follow the steps to fill out the Immunization In-Process Form

1. Press the ‘Get Form’ button to obtain the Immunization In-Process Form and open it for editing.
2. Begin by entering the name of the parent or guardian at the top of the form. This should be the person completing the document.
3. Fill in the name of the child who needs immunizations, ensuring to provide their full name as it appears on official documents.
4. List the required vaccinations your child needs by marking each vaccination with a checkmark in the corresponding box. These include DTaP, Hib, Tdap, PCV13, Td, Hepatitis B, Polio, Varicella, and MMR.
5. If your child has a medical exemption or religious beliefs that prevent them from receiving certain vaccinations, ensure to read and understand the exemption sections and provide the necessary signatures.
6. In the section for health care provider information, enter the name and contact details of the health care provider who will administer the vaccinations.
7. Specify the dates when each vaccine is scheduled to be received in the corresponding fields next to each vaccination.
8. Provide the method of notification preference by marking the appropriate option: phone, mail/email, or in person.
9. Once the form is completed, review all the information for accuracy and make any necessary adjustments.
10. Finally, save your changes, and you may choose to download, print, or share the completed form with relevant parties.

Take the next step towards your child's health by completing the Immunization In-Process Form online.