Get Ky Epid-230 2017-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the KY EPID-230 online
The KY EPID-230 form, also known as the Certificate of Immunization Status, is an essential document for tracking a child's immunization records in the Commonwealth of Kentucky. This guide will provide clear, step-by-step instructions on how to complete this form online, ensuring your child meets necessary vaccination requirements.
Follow the steps to complete the KY EPID-230 form online.
- Press the ‘Get Form’ button to access the KY EPID-230 form and open it in your chosen editor.
- Begin by filling out the child's name in the designated fields for Last, First, Middle, and Suffix. Ensure accuracy as this information is critical.
- Record the child's birthdate in the MM/DD/YYYY format, making sure to double-check for any typographical errors.
- Enter the name of the parent or guardian in the corresponding fields for Last, First, Middle, and Suffix.
- Provide the address of the parent or guardian, including Street, City, State, and Zip Code accurately to ensure proper communication.
- In the vaccine section, check all applicable immunizations received by the child, entering the dates (MM/DD/YYYY) for each dose in the provided space.
- If applicable, indicate whether the child has experienced chickenpox or zoster disease by selecting 'Yes' or 'No.'
- Determine and mark the child's vaccination status and any reasons for not being up-to-date, including options such as provisional status, medical exemption, or religious objection.
- If there's a medical exemption, specify which vaccines are not medically indicated and whether they can be administered at a later date.
- Make sure to include the date of filling out the form in the specified format (MM/DD/YYYY).
- A qualified individual must certify the form by signing in the designated signature field and entering the certification date.
- Review all entered information for accuracy to ensure the form is filled out correctly.
- Finally, save your changes, and you can choose to download, print, or share the form as required.
Complete the KY EPID-230 form online to ensure your child's immunizations are recorded accurately.
To obtain your old immunization records, start by contacting your previous healthcare providers. They are obligated to maintain medical records and can provide you with copies. If you are unable to find them, you can also use the KY EPID-230 form to request records from the health department. It is wise to keep a personal copy for your records.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.