Child Care

Child Care/Preschool Requirements

• 2025 Child Care/Preschool Requirements | Spanish | Russian
  Required immunizations for children enrolled in or attending child care facilities and preschools in Missouri.

Child Care/Preschool Reporting Information

• 2025 - 2026 Online Reporting for Child Care / Preschool (Coming Soon – November 7, 2025)
  For the best experience with the online reporting, you must use Microsoft Internet Explorer 7.0 or greater and Adobe Reader 7 or greater. This online report is not supported by Firefox, Google Chrome or Safari. Download the free Adobe Reader.
  Link to complete and submit the annual summary report.
  
• 2025 – 2026 Survey Packet (Coming Soon – November 7, 2025)
  Packet containing materials needed for completion of the annual Child Care/Preschool Immunization Status Report.
• 2025 – 2026 Survey Form-IMMP-32 (Coming Soon – November 7, 2025)
  (To report, print the form and mail or fax it to 573.526.0238.)
  Standardized form used to report immunization status of child care/preschool children.

Missouri Statutes

• Immunization of Children in Day Care 210.003
• Contagious Diseases Excluded from School 167.191

Code of State Regulations

• Day Care Immunization Rule 19 CSR 20-28.040
  • Missouri Day Care Immunization Requirements Vaccines Received 0-6 Years of Age
  • Medical Immunization Exemption (Imm.P.12) | Spanish | Russian
  • Parent/Guardian Immunization Exemption (Imm.P11) | Spanish | Russian
  • Immunizations In Progress (Imm.P.14) | Spanish | Russian
• Exclusion from School and Readmission 19 CSR 20-20.030

Tools & Resources

• Parent/Guardian Sample Letter
  This sample letter is a tool that can be used to notify parents/guardians of missing immunizations or incomplete immunization records.
• Easy to Read Immunization Schedules
• Immunization Schedules
  • Catch Up Schedule, 4 months to 18 Years
• Find a childcare provider in your area
  Available resources to assist you in finding a child care provider.