Immunizations and Forms
Only requests for medical records are being processed. No other forms can be accomodated since WholeKids Pediatrics is closed permanently. Please send a release of medical records for each child via email to firstname.lastname@example.org.
Below are links to the WholeKids vaccine schedule, consent forms and the State of Ohio vaccine exemption form.
- WholeKids Immunization Schedule
- Parent Consent Form - Vaccine Schedules
- Ohio Vaccine Exemption Form; The Ohio Vaccine Exemption form should be used by families choosing not to vaccinate who need to provide documentation to a school or other entity. This form is signed and submitted by parents only and does not require the signature of a health care provider.