Missouri children who are behind on vaccines required for school or child care may keep attending only while a series is under way and the next dose is booked. This certificate, issued under sections 167.181 and 210.003 RSMo, records the vaccines given on a visit date and the scheduled return date, and is filed with the school or child care so staff can track the catch-up.
A physician, public health nurse or designee checks each vaccine given that day, enters the date given and the date the child is scheduled to return, then prints their name and signs.
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A physician, a public health nurse or a designee signs and dates it. The signer checks each vaccine given at the visit, writes the date given, and enters the date the child is scheduled to return for the next dose, so the school or child care knows when to expect an updated record.
Missouri's guidance for families says the appointment must be kept and an updated immunization record given to the school or child care. If it is missed, the child is no longer in progress, is non-compliant, and cannot attend child care or school until the required immunizations are up to date.
Yes. The Department of Health and Senior Services posts the form in English and Spanish. Children with a medical reason not to receive a vaccine need a different document, the Imm.P.12 Medical Immunization Exemption, rather than the in-progress form.