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Requirements for Schools and Childcare Facilities

2020-2021 Immunization Reporting Packet

Reporting Forms and Due Dates

*IMPORTANT: Before filling out the forms electronically, save the forms to your computer. Otherwise, your numbers may not save.
Page 1: Section A English SpanishDue by January 13, 2021
Page 2: Section B-D English SpanishDue by January 13, 2021
Page 3: Section E-G English SpanishDue by March 1, 2021*Can be submitted with Section A if no children are listed on Section B.
Page 4: Section H English SpanishDue by March 1, 2021

Most-used Resources

1. 2020-2021 Report Due Dates (pdf)
2. "School Bus Flyer" - What shots are needed for each grade. (All files are PDF)
English Spanish Russian
Vietnamese Simple Chinese Arabic
Somali
3. Health Department Contact Information (pdf)
4. Checklist (fillable pdf)
5. Immunization Law Handbook (pdf)
5. Online Learning FAQs (pdf)

Getting and Reviewing Records

  1. Certificate of Immunization Status (CIS) form: The immunization record for each child
  2. ALERT IIS: Oregon immunization registry. A website to look up records and see if shots are due.
  3. Approved Computer Systems: A list of computer systems that have can review records and complete reports based on Oregon’s immunization requirements. (pdf)
  4. Primary Review Table: Detailed charts to manually review records (pdf)
  5. Manual tally spreadsheet- (pending)

Exemptions

  1. Exemptions: Medical, Nonmedical, Immunization Documentation
  2. Medical Exemptions Review form

Exclusion Order Explanations for Parents

  1. Understanding a No Record Exclusion Order
  2. Understanding an Incomplete/Insufficient Exclusion Order

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