The Crawford County Public Health form (found below and at https://5il.co/24bv5) must be completed, signed, and returned in order to participate in the immunization clinic at Wynford along with a copy of the front and back of your health insurance card.
Immunization exemption forms can also be found below and on our website at https://5il.co/h8jz.
Please contact Mrs. Johnston with any questions at 419-562-7828 x338 or johnston.michelle@wynfordroyals.org.
![](https://core-docs.s3.amazonaws.com/wynford_local_schools_ar/picture/data/464139/Crawford_County_Public_Health_Immunization_Form_Page_1.jpg)
![](https://core-docs.s3.amazonaws.com/wynford_local_schools_ar/picture/data/464140/Crawford_County_Public_Health_Immunization_Form_Page_2.jpg)
![](https://core-docs.s3.amazonaws.com/wynford_local_schools_ar/picture/data/464182/Immunization_Exemption_Form.jpg)
![](https://core-docs.s3.amazonaws.com/wynford_local_schools_ar/picture/data/464184/2023-Immunization-Schedule.jpg)