State Immunization Certificate (Colorado) [.2335 - .2343]

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Search Terms: CO State Immunization Cert

The Colorado State Immunization Certificate is used to generate a report of immunization compliance rules for students.

Image of the CO Immunization CertCO State Immunization Certificate

Report Logic

Students report on separate pages of the report.

Generation Steps

  1. Select the students to include in the report, either by Grade or by selecting an Ad hoc Filter.
  2. Enter an Enrollment Effective Date.
  3. Choose how the report should sort, either by Student Name or by Grade.
  4. Click Generate Report or Submit to Batch. The report displays as a PDF.

Report Example

Immunization Certification PDF Example

Report Layout

Data ElementDescriptionLocation
Student NameThe student's full name.

Alphanumeric
Census > Person > Demographics > First Name, Last Name, Suffix

identity.firstName
identity.lastName
identity.suffix
Date of BirthThe student's birthdate.

Date fields, MM/DD/YYYY
Census > People > Demographics > Birth Date

identity.birthDate
Parent/Guardian (if student is under 18 years of age and not emancipated) The parent/guardian's full name.

Alphanumeric
Census > People > Relationships > Name
Required Vaccines
Reports the Immunization Dates (MM/DD/YYYY) from the student's Immunizations tool (Student Information > Health > Immunizations) for each of the following vaccines.

Hep B 

Hepatitis B

DTaP 

Diphtheria, Tetanus, Pertussis (pediatric)

DT 

Diphtheria, Tetanus (pediatric)

Tdap 

Tetanus, Diphtheria, Pertussis

Td 

Tetanus, Diphtheria

Hib 

Haemophilus Influenzae Type B

IPV/OPV 

Polio

PCV 

Pneumococcal Conjugate

MMR 

Measles, Mumps, Rubella

Measles

N/A

Mumps

N/A

Rubella

N/A

Varicella 

Chickenpox
Varicella date of disease
The Waiver Date when the student has an exemption of "H"-Hx/Dis.
Varicella positive screen date
The Waiver Date when the student has an exemption of "L"- Lab Verified Titers.
Recommended Vaccines
Reports the Immunization Dates (MM/DD/YYYY) from the student's Immunizations tool (Student Information > Health > Immunizations) for each of the following vaccines.
HPV
Human Papillomavirus
RVRotavirus
MCV4
Meningococcal
Hep A 
Hepatitis A
Flu 
Influenza
COVID-19
N/A
Other
Reports blank.

Previous Versions

State Immunization Certificate (Colorado) [.2247 - .2331]
State Immunization Certificate (Colorado) [.2243 and previous]