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.
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.