Minnesota Department of Health Child Care Immunization Record

Please have your family physician complete the Minnesota Department of Health Child Care Immunization Record. This form must be completed and returned prior to admission.

http://www.health.state.mn.us/divs/idepc/immunize/laws/childcareimzrec.pdf

Permission to Administer Medication

Please submit this completed form for any new medication your child will need to receive while in my care. This form must be completed for all prescription and non-prescription medications.

www.hennepin.us/files/HennepinUS/HSPHD/Case%20Management%20and%20Family%20Resources/Child%20Care%20Licensing/Licensing%20Forms/PermissionToAdministerMed-HC13474.pdf