Louisiana schools must receive a certificate of required immunizations before enrollment under R.S. 17:170. Providers with access to LINKS, the Louisiana immunization registry, print the Certificate of Immunizations with the student's immunization history prepopulated, which is why there is no blank form to download.
An immunization provider with LINKS access generates and prints the certificate. LINKS fills in the vaccine history, and the provider can print it only when the certificate is up to date and not expired.
Download the current version from the source each time; forms change without notice.
Certificate of Immunizations (LINKS)
Louisiana Department of Health, Office of Public Health Immunization Program takes this form through its online services or your EMR, so there is no PDF to fill. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.
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No. The certificate is generated from LINKS with the student's immunization history prepopulated. Providers with LINKS access print it when the child is up to date and the certificate has not expired, and the family gives it to the school.
Immunization providers with LINKS access. The LDH school immunization guide states that they can print the Certificate of Immunizations if it is up to date and not expired, with the history prepopulated by LINKS. Schools need the certificate before enrollment under R.S. 17:170.
Exemptions are not part of the LINKS Certificate of Immunizations, which prints only when a child is up to date and the certificate has not expired. LDH uses a separate form, the Louisiana Certificate of Exemption, to document an exemption for school or child care.