SAMPLE
XYZ Charter
719
555-555-1234
MEMORANDUM
SUBJECT: Immunizations and shot record
TO: The Parents of__________________________________________________________
FROM: ____________________________________________________________________
DATE:_____________________________________________________________________
Our annual audit of immunization records has been completed and we need your help in updating our files. Checked below are the shots or information required for your child. If a vaccination is necessary, please take care of this right away. If our records are in error, please provide us with an up-to-date copy of your child’s vaccinations. Just a reminder that state law mandates every student have certain immunizations before attending school. Children without proper immunizations after _____________will not be permitted in the classroom.
If a student receives an inoculation please bring a copy of the record to the school so it can be placed on file. All shot records must show the day, month, and year they were given.
Thank you for your cooperation. If you have specific questions about your child and his/her immunizations you may contact ___________________________________at 555-555-1234.
|
|
DTP - One dose required after 4th
birthday
|
|
|
POLIO
- One
dose required after 4th birthday |
|
|
MMR
- Need 2nd
MMR on entering kindergarten |
|
|
MMR
- Need 2nd
MMR at 12 years of age |
|
|
Hepatitis
B - Need
to start or complete series |
|
|
Shot
Record Needed |
Director needs to update immunization records and requirements
annually.
II. 36