immunizations

The Wyoming Department of Health 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).

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.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the Wyoming Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The Wisconsin Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the Wisconsin Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The West Virginia Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

The Certificate of Medical Exemption will be on forms approved by the North Carolina Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The Virginia Department of Health 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).  

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.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the North Carolina Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The Washington Department of Health 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).

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.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the Washington Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The District of Columbia Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the North Carolina Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The South Dakota Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the North Carolina Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The South Carolina Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the North Carolina Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The Rhode Island Department of Health 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).

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.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the Rhode Island Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The Pennsylvania Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the Pennsylvania Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The Oregon Department of Health 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).

• Review the immunization requirements (below) and have your child immunized.
• Fill out a Certificate of Immunization Status Form with the immunization dates for your child. You may also request this form from your child’s school or childcare facility.
• Sign the form and turn it into your child’s school.

More Information >

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the Oregon Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The Oklahoma Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the Oklahoma Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The Ohio Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the Ohio Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The North Dakota Department of Health 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).

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.

The North Carolina Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the North Carolina Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The New Mexico Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the New Mexico Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The New York Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the New York Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The New Jersey Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the New Jersey Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The Nevada Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the Nevada Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

More Information >

The Nebraska Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the Nebraska Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The Missouri Department of Health 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).

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.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the Missouri Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The Minnesota Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious or Philosophical tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious and Philosophical Exemption and the Certificate of Medical Exemption will be on forms approved by the Minnesota Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The Vermont Department of Health 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).

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.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the Vermont Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

More information >

The Michigan Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious or philosophical tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious and Philosophical Exemption and the Certificate of Medical Exemption will be on forms approved by the Michigan Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The New Hampshire Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the New Hampshire Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

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The Massachusetts Department of Health 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).  

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the Massachusetts Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The Maryland Department of Health 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).  

As of Monday, September 19, 2016, students who have not submitted documents showing they have received the required immunizations will not be able to attend school.

For more information about Maryland’s immunization requirements, visit Maryland Department of Health and Mental Hygiene

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.

The state of Maryland offers medical and religious exemptions for immunizations.

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

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices.

Find Maryland’s immunization exemption form here.

The Maine Department of Health 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).  

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.

Medical – Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious and Philosophical – This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious and philosophical tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious and Philosophical Exemption and the Certificate of Medical Exemption will be on forms approved by the Maine Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The Texas Department of Health 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).  

For more information on immunization requirements visit Texas Department of State Health Services

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.

Medical

To claim an exclusion for medical reasons, the child or student must present an exemption statement to the school or child-care facility, dated and signed by a physician (M.D. or D.O.), properly licensed and in good standing in any state in the United States who has examined the child or student. The statement must state that, in the physician’s opinion, the vaccine required is medically contraindicated or poses a significant risk to the health and well-being of the child or student or any member of the child’s or student’s household. Unless it is written in the statement that a lifelong condition exists, the exemption statement is valid for only one year from the date signed by the physician.

Religious

To claim an exclusion for reasons of conscience, including a religious belief, the child’s parent, legal guardian, or a student 18 years of age or older must present to the school or child-care facility a completed, signed and notarized affidavit on a form provided by the department stating that the child’s parent, legal guardian, or the student declines vaccinations for reasons of conscience, including because of the person’s religious beliefs.

For more information or to request an Exemption Affidavit go to Texas Department of State Health Services.

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The Idaho Department of Health 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).

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.

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 and Philisiphical

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices.

The Hawaii Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the Hawaii Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The Kansas Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the Kansas Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The Colorado Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious and Philosophical

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the Colorado Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The Indiana Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the Indiana Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

The Iowa Department of Health 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).

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.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The Certificate of Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the Iowa Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

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).

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.

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.

The Louisiana Department of Health 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).

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.

Louisiana law allows exceptions for medical reasons, religious and philosophical beliefs.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

Religious and Philosophical

This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious or philosophical tenets or practices. A written objection from the parent or guardian of a student based on religious tenets and practices shall be submitted in person by the parent or guardian to the County Health Department for issuance of a Certificate of Religious Exemption from the required immunizations or testing.

The California Department of Health 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).  

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.

California law allows exceptions for medical reasons.

Medical

Physicians (MD or DO) or Public Health Nurses indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines may remain required. The form certifies that a child has a condition that prevents him/her from getting vaccinated. The medical reason for the exemption does not need to be provided.

The Certificate of Medical Exemption will be on forms approved by the California Department of Public Health and will be accepted in lieu of the Certificate of Immunization.

Under SB 277, home school students or students who do not receive classroom-based instruction are required to be vaccinated.

The Alaska Department of Health 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).

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.