Child Care Preschool Immunization Survey Worksheet

2019 annual child care immunization report age worksheets see definitions on dhhs 2900a dhhs 2900b revision 12 2019 dtap diphtheria tetanus pertussis. Immunization school survey instruction booklet.

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Keep for your records.

Child care preschool immunization survey worksheet. Child care programs and pre k. It is required by public health law section 2164 to complete and submit this school immunization survey. Table of contents instructions by grade level for completing survey form.

Required immunizations for school and child care. Please be aware that the data are limited in a number of ways including those listed below. School immunization survey vaccine specific exemptions worksheet for prekindergarten and day care use this worksheet to help you fill out the survey form do not return to us.

Home page child care programs schools and post secondary institutions immunization school survey worksheets. School immunization survey data. Make photocopies of this worksheet before filling it out if you know you will need more.

Home page child care programs schools and post secondary institutions immunization school survey instruction booklet. Pcv pneumococcal conjugate vaccine number of doses depends on the vaccine product. Nysdoh child care programs schools and post secondary institutions page with survey instruction book instructions for accessing and completing the school immunization survey and a link for recorded webinar training.

Show table of contents. Childcare preschool survey open docx file 25 kb for how to count each child only once docx 25 kb open pdf file 84 42 kb for childcare memo pdf 84 42 kb open docx file 50 67 kb for. Worksheet for children 0 24 months.

Vaccination is a medical intervention with direct benefits to both individuals and communities when a large percentage of a population is vaccinated the entire community vaccinated and unvaccinated receives additional protection from vaccine preventable diseases. Scroll down to the child care and prekindergarten section to view. Make photocopies of this worksheet before filling it out if you know you will need more.

Table of contents show table of contents table of contents hide table of contents x. The immunization status of all children less than 1 year of age in day care should be included on this worksheet. Mmr measles mumps rubella.

Only transfer summary totals from the front of the last worksheet to the survey form. Keep a separate list of those children who have been granted a medical exemption. Immunization worksheet for pre k day care for children less than 1 year of age 10 2019 pdf immunization worksheet for pre k day care for children 1 year of age and older 10 2019 pdf pre k.

Show more table of contents. The immunization status of all children 1 year of age and older in pre k day care should be included on this worksheet. The massachusetts department of public health immunization program is pleased to make available the 2016 2017 massachusetts childcare preschool immunization survey results by program.

Skip table of contents. Immunization school survey worksheets. Daycare less than 1 year of.

Only transfer summary totals from the front of the last worksheet to the survey form. Massachusetts childcare preschool immunization survey results 2016 2017.

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