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  • Al Public Health Pediatric Immunization Record 2009

Get Al Public Health Pediatric Immunization Record 2009-2025

History of Chickenpox? YES or NO If yes, date if known: Vaccine (circle correct vaccine) DT DTaP Age at VIS Form Given Manuf the time Type Mo Yr Abbr* Mo Day Yr Date Admin DTP Lot Number Provider Initials*** or Dose Admin Route VFC Outside Provider Name Site a 0.5cc LT RT LA RA IM LT RT LA RA LT RT LA RA IM IM DT DTaP DTP 0.5cc DT DTaP DTP 0.5cc DT DTaP DTaP-Hib DTP Hib DTP Polio 0.5cc LT RT LA RA 0.5cc LA RA IM Td Tdap 0.5cc LA RA.

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Immunization Requirement for School Entry Children entering Kindergarten need boosters of DTaP (Diphtheria, Tetanus, and Pertussis), Polio, MMR (Measles, Mumps, and Rubella), and Varicella. Children age 11 and entering the 6 th grade need a Tdap (Tetanus, diphtheria, and Pertussis) vaccination.

Immunization: A process by which a person becomes protected against a disease through vaccination. This term is often used interchangeably with vaccination or inoculation.

Alabama law requires all students to have a current Immunization Card (Blue Card) prior to registering for school. The original Blue Card is kept on file by the student's school and must be updated per state guidelines.

The State of Alabama does not recognize philosophical, moral, or ethical exemption from vaccination. A medical exemption may be issued by a physician or an Alabama Certificate of Religious Exemption may be obtained from the local county health department.

Immunization Requirement for School Entry Children entering Kindergarten need boosters of DTaP (Diphtheria, Tetanus, and Pertussis), Polio, MMR (Measles, Mumps, and Rubella), and Varicella. Children age 11 and entering the 6 th grade need a Tdap (Tetanus, diphtheria, and Pertussis) vaccination.

The parent or legal guardian must submit a written objection and receive education on the consequences of not immunizing their child. By State School Immunization Law, a Religious Exemption can only be issued to kindergarten through 12th grade and not to institutions of higher learning.

BlueCard Eligibility: 1-800-676-BLUE (2583) Blue Cross and Blue Shield of Alabama Provider Customer Service: 1-877-231-7239.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
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
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232