Follow the steps to fill out the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred digital format.
2. Begin by entering the child's name in the designated field, including first, middle, and last names as required.
3. Specify the date of birth by filling in the month, day, and year in the format indicated.
4. In the vaccines needed section, circle the dose number(s) of the overdue required vaccines that apply to your child.
5. For the vaccine catch-up schedule, enter the date of the last dose(s) received and the due date of the next dose(s) for each overdue vaccine. Check the boxes for any missing vaccines.
6. Fill in the title and name of the childcare facility operator certifying that the child has a record of at least one dose of each required vaccine.
7. Obtain the signature of the childcare facility operator, along with the date of signing.
8. As the parent or guardian, print your name, sign, and include your home and cell phone numbers, followed by the date.
9. Finally, review the completed form for accuracy, then save the changes, download, print, or share the form as needed.

Complete the ID Schedule Of Intended Immunizations Form online today to ensure your child's immunization records are up to date.