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I can report that going throught the normal local route, that the government definitely does what it can to immunize all babies.  For instance, once you go to the local clinics, they insist on seeing the immunization records from your hospital.  And if you have a doctor-less homebirth, then they also insist on seeing these records at the registro in order to issue a birth certificate.

However, on the other hand, if you have a doctor's statement that confirm the birth, then they might need to see these records at the registro.

It is of course wise to plan all these things in advance, but I just don't have the character for it.  The long and the short of it is that it is possible to pull this off but it's not necessarily straightforward.  With a private doctor it's easier than in the public system, that's for sure.

Sorry this message is deliberately vague.  If you need very specific answers on this vaccination topic about Costa Rica please contact me through email or site messages from my user page.

Peter

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