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Childhood Immunizations

Attention parents and guardians: Please bring your child's most recently updated immunization record and the parent's government issued ID with a recognizable photo, date of birth, and signature.

Please complete the following form, before arriving at the clinic.

• Child Registration Form - English (PDF 135kb)
• Child Registration Form - Spanish (PDF 99kb)
• Child Registration Form - Creole (PDF 99kb)

Need a copy of your child's shot record for school? Now you can download and print a PDF version for use at schools and child care centers. To learn how we have put together this handy guide: Parents 680 Form Retrieval Guide (PDF 356kb). Follow the instructions in the guide to download your child's shot record.

Resource List of Children's Medical Providers

Related Documents:

• Baby Shots English (PDF 1185kb)
• Baby Shots Spanish (PDF 705kb)
• Baby Shots Creole (PDF 701kb)
• School Shots English (PDF 386kb)
• School Shots Spanish (PDF388kb)
• School Shots Creole (PDF 335kb)