Kentucky requires proof of immunization and a physical examination before your child can attend licensed childcare. The immunization requirement is administered by the Kentucky Cabinet for Health and Family Services, and the Certificate of Immunization Status (CIS) is the official form. Here's every form, who fills it out, and where to get it.
Last verified: September 8, 2026
Kentucky childcare licensing regulations require all children attending licensed childcare facilities to have a current Certificate of Immunization Status (CIS) on file. The CIS is the same form used for school enrollment, completed and signed by a licensed healthcare provider.
Required immunizations for child care (age-appropriate):
Kentucky childcare licensing regulations (922 KAR 2:120 for child-care centers) require a preventive health care assessment for children within 60 days of enrollment. The assessment must be completed by a licensed healthcare provider and includes a general health evaluation.
A recent well-child visit typically satisfies this requirement. Bring a copy of the visit summary to the childcare center. Contact your specific childcare program for the form they require — many use the Kentucky Preventive Health Care Exam form or accept your provider's standard documentation.
(Source: Kentucky Cabinet for Health and Family Services; 922 KAR 2:120, accessed Aug 31, 2026)
If you've lost your child's immunization record, the Kentucky Immunization Registry (KYIR) is the recovery tool. Most Kentucky providers report doses to KYIR. Ask your pediatrician or contact your local Kentucky health department to request a printout.
For children who received some doses outside Kentucky, bring documentation of those doses so your Kentucky provider can review and potentially enter them into the system.
(Source: Kentucky Cabinet for Health and Family Services, accessed Aug 31, 2026)
Camp health form requirements in Kentucky depend on the type of program:
Licensed childcare centers need a CIS and a preventive health care assessment. Camps may have their own health forms. Call ahead and get the exact list before the doctor visit.
Bring any program-specific forms. Your pediatrician can update immunizations, complete the health assessment, and issue the CIS — all in one visit. The health assessment must be within 60 days of enrollment.
Turn in the CIS and health assessment to the childcare center or camp office. Keep copies of everything — the same CIS works 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 record, physical exam results, every vaccine date — all filed automatically into one timeline.
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Kentucky recognizes medical and religious exemptions from childcare immunization requirements under KRS 214.036. Medical exemptions require a certificate from a licensed physician. Religious exemptions require a written statement from a parent or guardian invoking sincerely held religious beliefs. Kentucky does not recognize a philosophical or personal belief exemption. For current forms and requirements, contact the Kentucky Cabinet for Health and Family Services.
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