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Immunization Forms

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All children should see their primary care provider at least once a year and their primary dental provider every six months to receive preventive services. DC laws and regulations require that any child attending a school or daycare in DC submit a completed Universal Health Certificate and Oral Health Assessment Form annually to demonstrate that all students are receiving the health care they need.

To request a religious exemption to the school vaccination requirement for your student or child:

  • Please submit the name of each child, their date of birth, and the school or childcare facility where they are or will be enrolled in an email to [email protected]. We will respond to get further information from you.
    OR
  • Come in person Monday-Friday, 8:15am to 4:45pm to:
    DC Health
    Immunization Division, 3rd floor
    Community Health Administration
    899 North Capitol Street NE
    Washington, DC 20002

Select the links below to download health forms and immunization requirements.

Contact TTY: 
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