HEALTH CARE PROFESSIONAL'S STATEMENT: I have examined the above named child within the past year and find that he or she is able to take part in the day care program.
A signed and dated copy of a health care professional's statement is attached.
Medical diagnosis and treatment conflict with the tenets and practices of a recognized religious organization,which I adhere to or am a member of. I have attached a signed and dated affidavit stating this.
My child has been examined within the past year by a health care professional and is able to participate in the day care program. Within 12 months of admission, I will obtain a health care professional's signed statement and submit it to the child care operation.
I have attached a signed and dated affidavit stating that I decline immunizations for reason of conscience, including religious belief, on the form described by Section 161.0041 Health and Safety Code submitted no later than the 90th day after the affidavit is notarized.
I have attached a signed and dated affidavit stating that the vision or hearing screening conflicts with the tenets or practices of a church or religious denomination that I am an adherent or member of.
Birth (first dose)
1–2 months (second dose)
6–18 months (third dose)
2 months (first dose)
4 months (second dose)
6 months (third dose)
15–18 months (fourth dose)
4–6 years (fifth dose)
12–15 months (fourth dose)
4–6 years (fourth dose)
Yearly, starting at 6 months. Two doses given at least four weeks apart are recommended for children who are getting the vaccine for the first time and for some other children in this age group.
12–15 months (first dose)
4–6 years (second dose)
The second dose should be given 6 to 18 months after the first dose.
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