One-Stop Back-to-School Shop: Form 121 and Birth Certificates

Monday, July 21 through Friday, August 1
This page has been automatically translated from English. MSDH has not reviewed this translation and is not responsible for any inaccuracies.

For back-to-school convenience, drop by our Vital Records office in Ridgeland to pick up Form 121 and birth certificates at the same time.

Remember: A form 121 (certificate of immunization compliance) is required for first-time entry into any Mississippi school or daycare.

Monday, July 21 – Friday, August 1
8 a.m. to 4 p.m.

MSDH Office of Vital Records and Health Statistics
222 Marketridge Drive, Ridgeland
(Off Highland Colony Parkway)

Birth Certificates

  • Birth certificates are available for same day pick up are $17; each additional certified copy is $6.
  • Methods of payment for birth certificates are cash, money order and credit card.
  • Applications for birth certificates can be printed at msdh.ms.gov/vital and completed before coming to the event.

Form 121

  • Form 121 may be picked up for free if required immunizations are up to date.
  • A scheduler will be on site to make appointments for children who require catch-up immunizations.
  • Certified copies of Form 121 can be also be printed through MyIRMobile.com.
Last reviewed on Jul 15, 2025 request edits
Mississippi State Department of Health 570 East Woodrow Wilson Dr Jackson, MS 39216 866‑HLTHY4U Contact and information

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