Sample Forms for Child Care Providers
Below are useful forms and checklists for child care providers
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