Keeping Track of Immunizations
The student, child care, and early childhood immunization forms have been updated to reflect the new immunization requirements that begin September 1, 2014.
Immunization Form (PDF: 98KB/2 pages) Updated 12/13
Record your child's immunizations or exemptions on this form for your child's school.
- Child Care Immunization
Record (PDF: 175KB/2 pages) Updated 12/13
Record your child's immunizations or exemptions on this form for your child care provider.
- Early Childhood Immunization Form (PDF: 177KB/2 pages) New! 12/13
Children participating in early childhood programs need to submit this completed form before starting classes.
Note: Use this immunization form in place of the Early Childhood Family Education (ECFE) and Early Childhood Special Education (ECSE) forms.
Record for Students Attending Post-Secondary Schools in Minnesota
(PDF: 42KB/1 page)
Sample form for college students to record Td and MMR immunizations, or exemption(s).
Looking for immunization records? For copies of your child’s vaccination records, talk to your doctor or call the Minnesota Immunization Information Connection (MIIC) at 651-201-5503 or 800-657-3970.