Please print off the forms below, and bring to the office. Thank you
State Required Health Forms
Colorado law C.R.S. § 25-4-902 requires all students attending any school in the state of Colorado to be vaccinated against certain vaccine-preventable diseases, as established by Colorado Board of Health rule 6 CCR 1009-2, unless an exemption is filed.
This form is to be completed by a health care provider (physician (MD, DO), advanced practice nurse (APN) or delegated physician’s assistant (PA)) or school health authority. School required immunizations follow the ACIP schedule. Note: Final doses of DTaP, IPV, MMR and Varicella are required prior to kindergarten entry. Tdap is required at 6th grade entry.
The form was created by the American Academy of Pediatrics, Colorado Chapter and Healthy Child Care Colorado to satisfy
childcare and Head Start requirements in Colorado.