California Pre-Kindergarten and School Immunization Record
Guidance For Completing Form CDPH 286. Review the pupil's immunization record for admission to: • Pre-kindergarten (child care or preschool);. • Transitional
California Immunization Requirements for Pre-Kindergarten
California pre-kindergarten (child care or preschool) facilities are required to check immunizations for all new admissions and at each age checkpoint.
PHYSICIANS REPORT-CHILD CARE CENTERS
IMMUNIZATION HISTORY: (Fill out or enclose California Immunization Record PM-298.) VACCINE. DATE EACH DOSE WAS GIVEN. 1st. 2nd. 3rd. 4th. 5th. POLIO (OPV OR
The School and Child Care Immunization Record has been moved
The School and Child Care Immunization Record has been moved to a new location: View new link: cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/
FORMS/RECORDS TO KEEP IN YOUR FAMILY CHILD CARE HOME
Family Child Care Consumer Awareness Information (LIC 9212) - This form must be given to the parents of each child in care. ○. California School Immunization
CALIFORNIA SCHOOL IMMUNIZATION RECORD
Local health departments shall have access to this record in schools child care facilities
california school immunization record
Local health departments shall have access to this record in schools child care facilities
Guide to Immunizations Required for Child Care or Preschool
Copy the date of each vaccine onto the California School. Immunization Record (Blue Card CDPH-286). 3. Determine whether children meet requirements above.
PRE-KINDERGARTEN
CALIFORNIA IMMUNIZATION REQUIREMENTS FOR. PRE-KINDERGARTEN. (any private or public child care center day nursery
The Child Care Guide has been been moved View new link:
The Child Care Guide has been been moved. View new link: https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immu- · nization/IMM-230.pdf.
PHYSICIANS REPORT-CHILD CARE CENTERS
IMMUNIZATION HISTORY: (Fill out or enclose California Immunization Record PM-298.) VACCINE. DATE EACH DOSE WAS GIVEN. 1st. 2nd. 3rd. 4th.
IMM-230 Child Care Guide
CALIFORNIA IMMUNIZATION REQUIREMENTS FOR. PRE-KINDERGARTEN. (any private or public child care center day nursery
CALIFORNIA SCHOOL IMMUNIZATION RECORD
Local health departments shall have access to this record in schools child care facilities
AAP-OC
HIB (Required only for child care and preschool). HEPATITIS B Yellow California Immunization Record ... STATE OF CALIFORNIA—DEPARTMENT OF PUBLIC HEALTH.
guide to immunizations - required for child care or preschool
Copy the date of each vaccine onto the California School. Immunization Record (Blue Card CDPH-286). 3. Determine whether children meet requirements above.
FORMS/RECORDS TO KEEP IN YOUR FAMILY CHILD CARE HOME
California School Immunization Record (blue card) (PM 286) - For every infant toddler
FORMS/RECORDS TO KEEP IN YOUR FAMILY CHILD CARE HOME
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY. CALIFORNIA DEPARTMENT OF SOCIAL SERVICES. FORMS/RECORDS TO KEEP IN YOUR. FAMILY CHILD CARE HOME.
CALIFORNIA PRE-KINDERGARTEN AND SCHOOL
California Department of Public Health. CALIFORNIA PRE-KINDERGARTEN AND SCHOOL IMMUNIZATION RECORD Pre-kindergarten (child care or preschool);.
California Immunization Handbook
Pre-kindergarten (child care or preschool) facility* or school staff must: 1. Obtain each child's personal immunization record even if the child may qualify
LIC 311A
A. Identification and Emergency Information - Child Care Centers (LIC 700). California School Immunization Records (“blue cards” PM 286) for ...
California Pre-Kindergarten and School Immunization Record
California Pre-Kindergarten and School Immunization Record Staff must record the required vaccine dose information and status of requirements for each pupil See reverse side for guidance Pupil Name (Last First Middle): Statewide Student Identifier (SSID): Name of Parent/Guardian (Last First): Birthdate (Month/Day/Year): Ethnicity:
PHYSICIAN'S REPORT-CHILD CARE CENTERS - California Dept of
Please provide a report on above-named child using the form below I hereby authorize release of medical information contained in this report to the above-named Child Care Center (SIGNATURE OF PARENT GUARDIAN OR CHILD’S AUTHORIZED REPRESENTATIVE) (TODAY’S DATE) PART B – PHYSICIAN’S REPORT (TO BE COMPLETED BY PHYSICIAN)
California Immunization Requirements for K–12 th Grade
California Immunization Requirements for K-12th Grade (continued) Conditional Admission Schedule for Grades K-12 Before admission a child must obtain the first dose of each required vaccine and any subsequent doses that are due because the period of time allowed before exclusion has elapsed
FORMS/RECORDS TO KEEP IN YOUR FAMILY CHILD CARE HOME
administer inhaled medication to a child in care this form must be completed and filed in the child's record and in the personnel file A separate form must be filled out for each person who administers inhaled medication to the child Identification and Emergency Information (LIC 700) - This form must be kept for each child in care
le d-ib td-hu va-top mxw-100p>CA Immunization Record - Edit Sign Print Fill Online
1 Complete child’s name and address information section or ask parent or guardian to complete this section only (This form is not to be sent home or given to parents to complete ) 2 School or child care personnel then ˜ll in date (month/day/year) of each immunization the student has received from the Immunization Record presented by
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