Immunization Requirements

School requirements

School immunization requirements booklet (PDF, 2.0 MB)
Authorization to receive Tetanus, diphtheria, acellular pertussis (Tdap),
Varicella, Meningococcal Conjugate (MCV4) or Human Papilloma Virus (HPV) vaccines
(English) (PDF, 34 KB) - (Spanish) (PDF, 130 KB) - (Hmong) (PDF, 29 KB)
School - Age/Grade requirements 2014 and beyond (English) (PDF, 19 KB) - (Spanish) (PDF, 17 KB) - (Hmong) (PDF, 17 KB)
School based clinic consent - Tdap only (English) (PDF, 30 KB) - (Spanish) (PDF, 91 KB) - (Hmong) (PDF, 33 KB)
School based clinic consent - Tdap/Varicella (English) (PDF, 34 KB) - (Spanish) (PDF, 97 KB) - (Hmong) (PDF, 28 KB)
School fact sheet for parents (English) (PDF, 37 KB) - (Spanish) (PDF, 42 KB) - (Hmong) (PDF, 38 KB)
School report to Local Health Department (PDF, 320 KB)
School report to the District Attorney (PDF, 14 KB)
Student immunization record (English) (PDF, 114 KB) - (Spanish) (PDF, 142 KB) - (Hmong) (PDF, 565 KB)
Legal Notice (English) (PDF, 38 KB) - (Spanish) (PDF, 152 KB) - (Hmong) (PDF, 29 KB)
Tdap and Varicella school requirements: Phase-in schedule 2008-2014

Last Revised: February 25, 2015