Required Medical Forms


Below are the two medical forms required in order for your child to be enrolled in Little Blessings PDO.  These forms are to be completed by your child’s Health Care Professional and returned to the office.


Dept. of Health Certificate of Immunization Form

Immunization and Exemption Form


General Health Appraisal
General Health Appraisal Form

Registration Forms


2018-2019 Registration Form – ENROLLMENT NOW OPEN
2018-2019 Paperwork Packet

Credit Card Authorization Form



Your Name (required)

Your Email (required)


Preferred Date & Time