A Providers Guide to Immunizations in Minnesota

Documenting Shots

It would be much easier if we all did it the same way!

Key Resources for Documenting Shots

  • Patient Immunization Record
    Record the immunization given to your patients, including dose, lot number, manufacturer, VIS given, and site given. Use this one-size-fits-all form to record immunizations for infants, children, teens, and adults.
  • Child Care Immunization Form
    Minnesota Statutes Section 121A.15 requires children enrolled in a Minnesota school to be immunized against certain diseases, allowing for specified exceptions. This form is designed to provide the child care facilities with information required by the law.
  • Student Immunization Form
    Minnesota Statutes Section 121A.15 requires children enrolled in a Minnesota school to be immunized against certain diseases, allowing for specified exceptions. This form is designed to provide the school with information required by the law.

Updated Wednesday, July 16, 2014 at 11:12AM