Documentation Required:

State Preschool Mandatory Documentation

Proof of Family Income

Proof of Family Address

Child's Immunization Record

Child's Physical

Child's Birth Certificate

Child's Medi-Cal number (if applicable)

Immunization Requirements for Preschool Students:

Type Requirement

Polio 3 doses required

DTP 4 doses required

MMR 1 does on or after first birthday IS REQUIRED

1 HIB 1 HIB on or after the first IS REQUIRED, regardless of any HIB doses given before the first birthday until 5 years old

HEP B 3 doses required

Varicela 1 dose required/unless child has had verified disease

PPD A TB clearance.  MUST HAVE AT THE TIME OF ENROLLMENT.