If your child is current on their physical exam (well child check), you can request a Child Health Assessment form. This document is from The Kansas Department of Health and Environment (KDHE) and therefore accepted by all local daycares and schools.

Immunization records can be picked-up anytime we are open – please call to confirm – or mailed to your address on file (request below).

Please fill out the request below. Do not refresh the page before submission.

Child Health Assessment/Immunization Record Request for Schools and Daycares

Please allow approximately two business days to complete.

Immunization records can be picked up by authorized people Monday to Friday from 8:00 AM to 4:30 PM without prior request.

Well checks:

  • 2 weeks | 2 months | 4 months | 6 months | 9 months | 12 months | 18 months | 2 years
  • Children above two years old: yearly

The request above is for paperwork for schools and daycares.
If you wish to obtain medical records or have them sent to another healthcare provider, please fill out a release (PDF only) and mail/fax/upload it after signing the form.