Forms
VFC Vaccine Administration Form (Part B)
Immunization - Form
August 13, 2025
This form allows you to provide immunization information for entry into NMSIIS.
VFC Southeast (B) Region Temperature Log Form
Immunization - Form
June 5, 2025
Eddy, Lea, Lincoln, and Roosevelt
VFC Southwest Region Temperature Log Form
Immunization - Form
June 5, 2025
Catron, Dona Ana, Grant, Hidalgo, Luna, Otero, Sierra, and Socorro
Certificate of Exemption from Immunization (English)
Immunization - Form
April 4, 2025
This form may be used by individuals requesting a religious or medical exemption to immunization for their children whom attend any public, private or parochial pre-school, kindergarten, elementary, secondary school, or home school and for children attending daycare of childcare facilities.
Certificate of Exemption from Immunization (Spanish)
Immunization - Form
April 4, 2025
This form may be used by individuals requesting a religious or medical exemption to immunization for their children whom attend any public, private or parochial pre-school, kindergarten, elementary, secondary school, or home school and for children attending daycare of childcare facilities.