Iowa children enrolling in licensed child care or school need a Certificate of Immunization showing age-appropriate immunizations that meet state requirements. Page 1 records dates and sources for DTaP, hepatitis B, varicella, PCV, polio, MenACWY, MMR and Hib; page 2 lists the July 2026 dose requirements by age and grade.
A physician (MD or DO), physician associate, nurse or certified medical assistant records the vaccine dates and signs the certification at the bottom of page 1.
Download the current version from the source each time; forms change without notice.
Certificate of Immunization
If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.
A physician (MD or DO), physician associate, nurse or certified medical assistant prints their name, signs and dates the certification that the child has age-appropriate immunizations meeting the requirement for licensed child care or school enrollment. A certificate printed from IRIS is also accepted.
Only with HHS approval. Iowa accepts HHS-approved alternative certificates under a Statement of Approval for Alternative Certificate of Immunization, in addition to the state form and IRIS-generated certificates. Without that approval, the state form or an IRIS printout is the route.