Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Sample California Immunization Record - Cdph Ca

Get Sample California Immunization Record - Cdph Ca

Sample California Immunization Record. Note: Not shown at actual size. The California Immunization Record (yellow card) can be folded to fit into the plastic .

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Sample California Immunization Record - Cdph Ca online

The Sample California Immunization Record is an essential document for tracking vaccinations. This guide provides detailed instructions to assist users in filling out the form online accurately and efficiently.

Follow the steps to complete your immunization record online.

  1. Click 'Get Form' button to obtain the form and open it in the editor.
  2. Identify the personal information section. Fill in the necessary details, which may include your name, date of birth, and address. Ensure all information is accurate to avoid issues with record verification.
  3. Locate the immunization sections of the form. Enter details of each vaccine received, including the date administered, vaccine type, and the provider's information. Be thorough, as precise records are critical for future medical consultations.
  4. Review the completion status of the form. Double-check all entries for accuracy and completeness to ensure a smooth process.
  5. After finalizing the information, save any changes made to the document. Ensure to download or print a copy for your records or for submission as needed.

Take the next step in managing your health by completing your immunization record online today.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Vaccine Record Guidelines & Standards
14 Jun 2021 — A photo of a vaccination card as a separate document; OR ... California's...
Learn more
IMM-365 School Handbook Eleventh Edition...
The California Immunization Registry (CAIR) can help schools meet immunization ... Tdap...
Learn more
WELL - Storyblok
Use of this document in any form implies acceptance ... At minimum 90%, by volume, meet...
Learn more

Related links form

Key Information Please Read Inside Front Cover Table Of Contents P - Opm OPERATING MANUAL UPDATE The Guide To Processing ... - OPM Medicare Data Release Agreement - Office Of Personnel Management - Opm Federal Employees Health Benefits Program Coverage For Certain

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

More than a third of children ages 5 to 11 and 67% of 12- to 17-year-olds have had their primary series of vaccinations. In response, last summer the state withdrew a mandate that school staff be vaccinated or tested to remain on campus and rescinded a requirement that everyone wear masks in classrooms.

The Yellow Card shows proof of the shots needed to start school, day care, or a new job. If you move or change doctors, your new doctor can look up your/your child's vaccination record in CAIR. This helps your doctor know which shots you/your child had and which ones are still needed.

Varicella Vaccine Mandates for Child Care and K-12 StateChild careElementary schoolAlaskayes7/2009Arizonayes9/2005†Arkansasyes9/2000Californiayes7/200135 more rows • Jan 30, 2020

In California, the blue California School Immunization Record card is a tool pre-kindergarten facilities and schools can use to record information required to be on file for every child enrolled. This record card is sometimes referred to by its initials (CSIR), number (CDPH 286), or color (blue).

Students Admitted at TK/K-12 Need: Diphtheria, Tetanus, and Pertussis (DTaP, DTP, Tdap, or Td) — 5 doses. (4 doses OK if one was given on or after 4th birthday. ... Polio (OPV or IPV) — 4 doses. ... Hepatitis B — 3 doses. ... Measles, Mumps, and Rubella (MMR) — 2 doses. ... Varicella (Chickenpox) — 2 doses.

Children in Pre-Kindergarten *One Hib dose must be given on or after the 1st birthday regardless of previous doses. Required only for children younger than 5 years old. Parents must show their child's Immunization Record as proof of immunization.

What immunizations does my child need for grade school, preschool or day care? Polio. Diphtheria, Tetanus, and Pertussis (DTaP) Measles, Mumps, and Rubella (MMR) Hepatitis B. Varicella (Chickenpox)

"Fully Vaccinated" means individuals who are considered fully vaccinated for COVID-19: two weeks or more after they have received the second dose in a 2-dose series (Pfizer-BioNTech or Moderna or vaccine authorized by the World Health Organization), or two weeks or more after they have received a single-dose vaccine ( ...

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Sample California Immunization Record - Cdph Ca
Get form
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Form Packages
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
Form Categories
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
Customer Service
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
Legal Guides
  • Real Estate Handbook
  • All Guides
Prepared for you
  • Notarize
  • Incorporation services
Our Customers
  • For Consumers
  • For Small Business
  • For Attorneys
Our Sites
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program