New Jersey · Daycare & Camp · 2026–2027

New Jersey daycare & camp health forms:
what you need.

New Jersey requires immunization records, a physical exam, and lead screening 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

Licensed Child Care (Daycare & Preschool)

1. Universal Child Health Record (CH-14)

New Jersey's primary child care enrollment form is the Universal Child Health Record (CH-14). This state-issued form documents your child's physical exam, immunization history, developmental status, and health conditions. Per N.J.A.C. 3A:52-7.1, all licensed child care centers must have a completed CH-14 on file before enrollment.

The CH-14 must be completed by a licensed healthcare provider and is valid for one year — it must be updated annually while your child is in care.

Where to get CH-14: Your pediatrician has the form and completes it during a well-child visit. Many providers have it pre-loaded in their EHR system. You can also download a blank copy from the NJ Department of Health website. (Source: NJ DCF — Child Care Licensing; N.J.A.C. 3A:52-7.1, accessed Aug 29, 2026)

2. Immunization record — N.J.A.C. 8:57-4

New Jersey Administrative Code N.J.A.C. 8:57-4 requires documented proof of age-appropriate immunizations for all children in licensed child care. The immunization record is typically part of the CH-14 but may also be a separate signed statement from your physician.

Required immunizations for child care (age-appropriate):

New Jersey's flu vaccine requirement: NJ is one of the few states that requires an annual influenza vaccine for child care enrollment (ages 6–59 months). The deadline is typically December 31 of each year. Check with your provider for the current season's timing. (Source: NJ DOH — Immunization Requirements; N.J.A.C. 8:57-4.20, accessed Aug 29, 2026)

3. Lead screening — required

New Jersey requires lead screening for all children at ages 12 and 24 months, and for any child under 6 years old not previously tested. Per N.J.A.C. 8:51A, licensed child care centers must verify that enrolled children have been screened. Your pediatrician performs this with a simple blood test during a routine well-child visit.

Documentation of lead screening is part of the CH-14 form. If your child hasn't been tested, the center will ask you to get it done — it's not optional in New Jersey.

(Source: NJ DOH — Childhood Lead Program; N.J.A.C. 8:51A, accessed Aug 29, 2026)

4. Camps — licensed and unlicensed

Camp health form requirements in New Jersey depend on the type of camp and licensing:

(Source: NJ DOH — Youth Camp Safety; N.J.A.C. 8:25, accessed Aug 29, 2026)

Getting It Done

Your New Jersey daycare/camp timeline

1

Ask the program what they need

Licensed child care centers need the CH-14, immunization record, and lead screening documentation. Camps may have their own health forms. Call ahead and get the exact list.

2

Schedule the well-child visit

Your pediatrician can complete the CH-14, update immunizations, order lead screening (if not yet done), and sign any camp health forms — all in one visit. Bring the flu vaccine requirement to their attention if your child is under 5.

3

Submit before enrollment — and keep copies

Turn in completed forms to the child care center or camp office. The CH-14 expires annually, so keep a copy — you'll need to renew it each year and again for school enrollment.

How It Works

One email address. That's it.

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 CH-14, every vaccine date, the lead screening results — all filed automatically into one timeline.

When the camp asks for an updated physical? When you renew the CH-14 next year? When kindergarten enrollment starts? It's all already in one place.

$99/year — or about $10 a month.

See how it works →

Exemptions

Medical and religious exemptions

New Jersey allows medical and religious exemptions from child care immunization requirements. Philosophical or personal belief exemptions are not available in New Jersey (eliminated by P.L. 2019, c. 367).

Governing statutes: N.J.S.A. 26:1A-9.1 (immunization requirements); P.L. 2019, c. 367 (exemption law).

One health story. One email address
every clinic already knows how to use.

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.

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More resources:

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