IMMUNIZATION STATUS  IC NC ICNP  Reason for Exemption Medical Religious On Schedule
DPT/DT (Dates)	DPT DT DTaP	DPT DT DTaP	DPT DT DTaP
	DPT DT DTaP	DPT DT DTaP	DPT DT DTaP
POLIO  (Dates)	IPV OPV	IPV OPV	IPV OPV
	IPV OPV	IPV OPV	IPV OPV