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 Mt Dphhs Varicella 2015-2025

Dphhs 115 History Documentation Child Care Printable 2015-2025 Form

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What is the Mt Dphhs Varicella

The Mt Dphhs Varicella form is a crucial document used in the state of Montana to verify a child's vaccination history against varicella, commonly known as chickenpox. This form is essential for enrollment in schools and childcare facilities, ensuring that children are protected against this contagious disease. The documentation outlines the vaccination dates and any history of the disease, which is important for public health and safety.

How to use the Mt Dphhs Varicella

To use the Mt Dphhs Varicella form, parents or guardians must complete it with accurate information regarding their child's vaccination status. This includes providing details such as the dates of vaccinations received and any previous history of varicella infection. Once filled out, the form should be submitted to the appropriate educational or childcare institution as part of the enrollment process.

Steps to complete the Mt Dphhs Varicella

Completing the Mt Dphhs Varicella form involves several straightforward steps:

  • Gather necessary information about your child's vaccination history.
  • Fill out the form with accurate dates and details of vaccinations.
  • Sign the form to certify the information provided is correct.
  • Submit the completed form to your child's school or childcare provider.

Legal use of the Mt Dphhs Varicella

The legal use of the Mt Dphhs Varicella form is governed by state regulations that mandate vaccination documentation for school attendance. This form serves as a legal record that helps institutions comply with health and safety laws. Ensuring that the form is accurately completed and submitted protects not only your child but also the wider community by preventing outbreaks of varicella.

Key elements of the Mt Dphhs Varicella

Key elements of the Mt Dphhs Varicella form include:

  • Child's full name and date of birth.
  • Details of varicella vaccinations, including dates.
  • Signature of the parent or guardian.
  • Contact information for follow-up if needed.

Examples of using the Mt Dphhs Varicella

Examples of using the Mt Dphhs Varicella form include:

  • Submitting the form during the enrollment process for kindergarten.
  • Providing the form when transferring a child to a new school or childcare facility.
  • Using the form to update vaccination records for compliance with state health regulations.

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