Sample Forms for Child Care Providers

Below are useful forms and checklists for child care providers


Attendance Log

Emergency Plan

Steps to take during a disaster

Sample handbook and contracts

Keep me home if . . .

Immunization Records

The Oregon Health Authority requires child care providers to keep immunization records on file for each child in their care. Certified family child care providers and centers may be eligible to enroll in the ALERT IIS system which will allow them to download immunization records directly from the state system in place of the paper form. Registered providers can use the form below.
Required Immunizations by Age
Immunization Record Form
Enroll in Alert IIS System