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Arizona Immunization Program Office
IDR and Exemption forms for Schools and Childcare Centers
 

Arizona schools must submit an annual Immunization Data Report (IDR) on students enrolled in preschool, pre-k, kindergarten, sixth and tenth grades by November 15th each year. Childcare centers, small group childcare homes and Head Start programs must submit annual Immunization Data Reports on children born on or after 10/1/2003.

Referral Notice of Inadequate Immunization for School/Child Care [PDF 52K]
School Exemption Form [PDF 23K]   
Child Care Exemption Form [PDF 22K]

IDR forms

Maricopa County

Childcare, Preschool, Pre-k, and Head Start programs
Instructions for Completing Form 108-B
Form 108-B: Immunization Assessment Of Children 0-5 Years of Age

Pima County

Apache, Cochise, Coconino, Gila, Graham, Greenlee, La Paz, Mohave, Navajo, Pinal, Santa Cruz, Yavapai and Yuma Counties

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