Medical Report and Immunization Record Submission – The Children's Circle

Please upload the Medical Report and Immunization Record for your child below. You can upload the medical report and immunization report as one file or as separate files. No paper copies or faxes will be accepted.

Child Name(Required)

First Last

Mother/Guardian Email Address

Medical Report & Immunization Record (one file including both)

Max. file size: 300 MB.

Medical Report (only)

Max. file size: 300 MB.

Immunization Record (only)

Max. file size: 300 MB.