Child immunization record form for daycares
Track every routine childhood vaccine and dose date, exemptions and review dates on one form. Add your center details and download.
- Fill in your detailsYour center, room and dates.
- Make it yoursEdit, add or remove anything. Turn parts on or off.
- Check the previewIt updates as you type.
- Download PDFOr get a blank copy to fill in by hand.
Each section below shows what will print. Use the switch to keep or remove a section, edit the policy wording, and add your own questions at the bottom.
Your own questions
OptionalImmunization records in childcare
Most states require licensed childcare programs to keep an up-to-date immunization record for every child, usually signed by a doctor or from the state immunization registry. Requirements and allowed exemptions are set by each state, so check your state health department's rules.
Tips
- Ask for the official record from the doctor or state registry at enrollment.
- Check records every few months, since young children get vaccines often.
- Set a reminder for children who are due for their next dose.
- Keep exemption forms with the record.
- Keep records private and secure.
For the official schedule, see the CDC child and adolescent immunization schedule.
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Common questions
What vaccines do children need for daycare?
Most states follow the CDC schedule, which includes hepatitis B, rotavirus, DTaP, Hib, pneumococcal, polio, MMR, chickenpox, hepatitis A and a yearly flu shot. Your state sets which ones childcare programs must check.
Who fills in the immunization record?
Usually the child's doctor or clinic, or it comes from the state immunization registry. Parents give a copy to the center.
Is this immunization form free?
Yes. Add your details and download a printable record at no cost.