Form F-44192 Child Care Immunization Record - Wisconsin

Form F-44192 Child Care Immunization Record - Wisconsin

What Is Form F-44192?

This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F-44192?
A: Form F-44192 is the Child Care Immunization Record in Wisconsin.

Q: What is the purpose of Form F-44192?
A: The purpose of Form F-44192 is to provide a record of a child's immunization history for child care purposes.

Q: Who needs to complete Form F-44192?
A: Child care providers and parents/guardians are responsible for completing Form F-44192.

Q: What information is included on Form F-44192?
A: Form F-44192 includes information about the child's immunization history, including the vaccines received and the dates they were administered.

Q: Can Form F-44192 be used for school enrollment?
A: Yes, Form F-44192 can also be used for school enrollment purposes in Wisconsin.

Q: Is it mandatory to fill out Form F-44192?
A: Yes, it is mandatory to fill out Form F-44192 for child care enrollment in Wisconsin.

Q: How often does Form F-44192 need to be updated?
A: Form F-44192 needs to be updated whenever the child receives new immunizations.

Q: What if a child has a medical or religious exemption from immunizations?
A: If a child has a medical or religious exemption from immunizations, an exemption form should be completed instead of Form F-44192.

Q: Can Form F-44192 be used for children in school-age programs?
A: No, Form F-44192 is specifically for children in child care settings, not for children in school-age programs.

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Form Details:

  • Released on December 1, 2020;
  • The latest edition provided by the Wisconsin Department of Health Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form F-44192 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-44192 Child Care Immunization Record - Wisconsin

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  • Form F-44192 Child Care Immunization Record - Wisconsin, Page 1
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