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)
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)
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.