Get California Pre-kindergarten And School Immunization Record

This guide provides step-by-step instructions on how to complete the California Pre-Kindergarten And School Immunization Record online. It helps ensure that all required immunization details are accurately recorded for students, facilitating their enrollment in school.

Follow the steps to accurately complete the immunization record.

1. Press the ‘Get Form’ button to access the California Pre-Kindergarten And School Immunization Record and open it for editing.
2. Begin by filling in the pupil’s identification section. Enter the pupil's name in the format Last, First, and Middle. Then, input the Statewide Student Identifier (SSID), which is a 10-digit number assigned to each pupil by the California Department of Education.
3. Select the pupil's ethnicity by checking the appropriate box for either Hispanic/Latino or Non-Hispanic/Non-Latino. Next, enter the name of the parent or guardian in the format Last, First.
4. Provide the pupil’s birthdate in the format Month/Day/Year. Fill out the gender section as applicable.
5. If applicable, mark the Permanent Medical Exemption box for any vaccines the pupil is permanently exempted from for medical reasons. Ensure that you utilize any provided vaccination records to accurately fill in the vaccine and dose information.
6. Record the date (in MM/DD/YY format) for each vaccine dose received by the pupil. Remember to indicate whether the pupil meets specific immunization requirements for admission statuses such as pre-kindergarten, kindergarten through 12th grade, and 7th grade.
7. Complete the Status of Requirements section based on the pupil’s immunization status. Include the initials of the staff member reviewing the records and indicate the appropriate status by checking the corresponding box.
8. If the pupil's immunization record is incomplete, check the appropriate boxes for 'Missing Doses Not Currently Due' or 'Missing Doses Are Overdue' and provide follow-up dates as necessary.
9. Once all necessary fields are filled out, save your changes to the form. You may then choose to download, print, or share the completed immunization record.

Complete your forms online to ensure a smooth enrollment process.