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Childhood Immunizations

Attention parents and guardians: Please bring your child's most recently updated immunization record and the parent's government issued ID with a recognizable photo, date of birth, and signature.

Please complete the following form, before arriving at the clinic.

• Child Registration Form - English (PDF 135kb)
• Child Registration Form - Spanish (PDF 99kb)
• Child Registration Form - Creole (PDF 99kb)

Recommended Childhood Immunizations
Age	Vaccines
Birth	Hepatitis B
2 months	Roatvirus (RV), Diptheria -Tetanus - Pertusis (DTaP), Haemophilus influenzae type B (Hib), Pneumococcal Conjugate (PCV), Inactivated Polovirus (IPV)
4 months	DTaP, Hib, IPV, PCV, RV
6 months	DTaP, Hep B, Hib, IPV, PCV, RV, Influenza
12 - 15 months	Measles - Mumps - Rubella (MMR), PCV, RV
12-18 months	DTaP
4 - 5 years	DTap, IPV, MMR, Varicella (Chicken Pox)
11 - 18 years	Human Papillomavirus (HPV) - 3 doses for females, Meningococcal Conjugate (MCV), Tetanus, Diptheria, Pertusis (Tdap)

Related Documents:

• Baby Shots English (PDF 1185kb)
• Baby Shots Spanish (PDF 705kb)
• Baby Shots Creole (PDF 701kb)
• School Shots English (PDF 386kb)
• School Shots Spanish (PDF388kb)
• School Shots Creole (PDF 335kb)