The Arizona Department of Health Services has immunization requirements for those who attend child care, pre-school, and school. The state’s immunization requirements follow the current schedule published by the Centers for Disease Control and Prevention (CDC) and endorsed by the American Academy of Pediatrics (AAP) and American Academy of Family Physicians (AAFP).

Children enrolling in child care facilities, pre-school, pre-Kindergarten

Infants entering child care facilities must be up to date at the time of enrollment and are required to provide an updated certificate after completing all of the required vaccines due no later than 18 months of age.

  • Hepatitis B (HBV)

  • Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)

  • Poliomyelitis (IPV or OPV)

  • Haemophilus influenzae type B (Hib) 

  • Measles, Mumps, Rubella –  MMR

  • Varicella – credible history of disease or proof of immunity

  • Hepatitis A – Maricopa County Only

Children enrolling in Kindergarten
  • Hepatitis B (HBV)

  • Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate) – at least 1 dose at 4 years of age or older is required.

  • Poliomyelitis (IPV or OPV)

  • Measles, Mumps, Rubella –  MMR

  • Varicella 

  • Hepatitis A 

All children entering 7th grade (including currently enrolled students)
  • Tetanus-diphtheria-pertussis booster (Tdap) – evidence of one Tdap dose given any time before 7th grade entry is required regardless of Td history

  • Varicella – 2 doses or credible history of disease

  • Meningococcal (required for students in 6th-12th grade)

Children who are new enrollees in a TN school in grades other than Kindergarten
  • Hepatitis B (HBV)

  • Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)

  • Poliomyelitis (IPV or OPV – final dose on or after the 4th birthday

  • Measles, Mumps, Rubella – 2 doses of each, normally given together as MMR

  • Varicella – 2 doses or credible history of disease

  • New students entering grades other than 7th grade are not required to have Tdap

Immunizations Exemptions

Arizona law allows exceptions for medical reasons, religious and personal beliefs.

Medical

Physicians (MD or DO) or Public Health Nurses are authorized to indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines remain required. The medical reason for the exemption does not need to be provided.

Religious

Must be completed by the parent or guardian of a child attending childcare or preschool programs. The initials of the parent/guardian and the date are required next to each vaccine preventable disease description, in addition to the signature and date at the bottom of the form.

Personal

Must be completed by the parent or guardian of a student attending Kindergarten through 12th grade. Personal Beliefs exemptions are not applicable in childcare or preschool programs. The initials of the parent/guardian and the date are required next to each vaccine preventable disease description, in addition to the signature and date at the bottom of the form.

Medical reasons exemption form
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Forma de exención para razones médicas
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Religious beliefs exemption form
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Forma de exención para creencias religiosas
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Personal beliefs exemption form
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Forma de exención para creencias personales
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