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Get Child Immunization Record

Child Care Immunization Record Must be on file before a child attends child care. Name Birthdate Date of Enrollment IMMUNIZATION HISTORY SIGNATURE(S) Fill in the MO/DAY/YR information for children.

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  1. Open the template in our feature-rich online editor by clicking on Get form.
  2. Complete the requested boxes that are yellow-colored.
  3. Click the green arrow with the inscription Next to move from field to field.
  4. Use the e-signature solution to add an electronic signature to the form.
  5. Insert the relevant date.
  6. Double-check the whole document to ensure that you haven?t skipped anything.
  7. Hit Done and save the resulting form.

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