IMMUNIZATION AND RECORD REQUIREMENTS by 4d94nw

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									  IMMUNIZATION AND HEALTH RECORD REQUIREMENTS

                    FOR CHILDREN ENTERING OR ATTENDING
                PRESCHOOL, PUBLIC, PRIVATE OR CHARTER SCHOOL

Forms Required for Entry:

      Department of Health Form 3040 (“yellow Form”) – official record of your child’s
       physical examination (done by a medical doctor or nurse practitioner). It
       includes the screening and/or test for Tuberculosis
      Department of Health Form 680 (“blue form”) – official record of your child’s
       immunizations
      Ask your doctor, clinic or county health department to fill out the “blue form” for
       you. Don’t forget to take your child and the immunization record with you

Immunizations Required for Preschool Entry (age–appropriate doses as are medically
indicated):

      Diphtheria – Tetanus – Pertussis Series
      Haemophilus Influenzae type b (Hib) Series
      Hepatitis B Series
      Measles – Mumps – Rubella (MMR)
      Polio Series
      Varicella
      Pneumococcal Conjugate Vaccine Series

Immunizations Required for Kindergarten Entry:

      Diphtheria – Tetanus – Pertussis Series
      Hepatitis B Series (three doses)
      Measles – Mumps – Rubella Series (two doses)
      Polio Series
      Varicella Series (two doses)

Immunizations Required for 7th Grade Entry:

      Hepatitis B Series (two/three dose series)
      Second Dose of MMR vaccine
      Tetanus – Diphtheria - Pertussis Booster

For more information, contact your County Health Department or private physician

                       Miami-Dade County Health Department
                              School Health Program
                             Telephone (786)-845-0222
                               Fax (786)-845-0219
                                www.dadehealth.org
                http://www.dadehealth.org/school/SCHOOLprogram.asp

								
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