Colorado requires proof of immunization and a health appraisal before your child can attend licensed child care. Here's every form, who fills it out, and where to get it.
Last verified: September 8, 2026
Colorado Board of Health Rules 6 CCR 1009-2 require all children in licensed child care to have documented proof of age-appropriate immunizations. The child care facility must have a current immunization certificate on file within 14 calendar days of enrollment.
Required immunizations for child care (age-appropriate):
Colorado Department of Human Services (CDHS) child care licensing rules require every licensed center to have a health appraisal for each child, completed by a licensed healthcare provider within 12 months before enrollment. The appraisal documents the child's general health, developmental status, allergies, chronic conditions, and any special health needs.
CDHS provides a standard health appraisal form for child care centers. Your pediatrician completes it during a well-child visit. The appraisal must be updated if the child's health status changes significantly.
(Source: CDHS — Child Care Licensing; 12 CCR 2509-8, Rule 7.702.52, accessed Aug 29, 2026)
If you've lost your child's immunization record, Colorado's CIIS (Colorado Immunization Information System) is your recovery tool. Most Colorado providers report doses to CIIS. You can request your child's immunization history by contacting your local public health agency or your child's provider, who can print it directly from CIIS.
CIIS records are accepted by child care facilities as proof of immunization. Having your child's record in CIIS also means it's accessible to any future Colorado provider.
(Source: CDPHE — Colorado Immunization Information System, accessed Aug 29, 2026)
Camp health form requirements in Colorado depend on the type of program:
(Source: CDHS Child Care Licensing; CDPHE, accessed Aug 29, 2026)
Licensed child care centers need an immunization certificate and health appraisal. Camps vary. Call ahead and get the exact list before scheduling the doctor visit.
Bring the center's forms. Your pediatrician can update immunizations, complete the health appraisal, and print a CIIS immunization history — all in one visit. Remember: you have 14 days from enrollment to get documentation on file.
Colorado's 14-day grace period means your child can start attending while you finalize paperwork. Keep copies of everything — you'll need the same immunization record for school enrollment.
Every person in your family gets a private @families.familystork.com email address. Give it to your pediatrician — they send records to it, and the health story builds itself. The immunization certificate, health appraisal, every vaccine date — all filed automatically into one timeline.
When the camp asks for an updated shot record? When you switch daycares? When kindergarten enrollment starts? It's all already in one place.
$99/year — or about $10 a month.
Colorado allows medical, religious, and personal belief (nonmedical) exemptions from child care immunization requirements. Per HB 20-1312, nonmedical exemptions require parents to complete an online education module from CDPHE or obtain a signed statement from a healthcare provider before the exemption is accepted.
Governing statute: C.R.S. §25-4-903; HB 20-1312 (nonmedical exemption education requirement).
Tired of managing health records for yourself and everyone you love? Family Stork organizes them for you automatically. Start your child's record today — daycare forms, camp forms, school enrollment, all in one timeline.
Start your family's record — freeMore resources:
Juggling logins across multiple hospital portals? See how Family Stork compares to MyChart — one email address vs. a different portal for every clinic.
Keep your family's entire health story in one place: family health timeline software — from first heartbeat and beyond.