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Services > Immunization > School and Childcare Requirements for Immunizations

School and Childcare Requirements for Immunizations


California law requires, that at the time of enrollment in California schools, children must have or must obtain the following immunizations (with some exceptions based on age, religious belief, or medical reasons):

Immunizations required for School Entry, K-12
Kindergarten Web Assessments
Polio 4 doses but... 3 doses meet requirement if at least one dose was given on or after the 4th birthday
3 doses meet requirement for ages 7-17 years if at least one was given on or after the 2nd birthday.
Diphtheria, Tetanus and Pertussis
Age 6 years and under (Pertussis is required) DTaP or DTP, or any combination of DTaP/DTP with DT or Td (Tetanus and Diphtheria) 5 doses
but...
4 doses meet requirements for ages 4-6 if at least one dose was given on or after the 4th birthday.
Age 7 years and older (Pertussis is not required)
Td, DT, DTaP, DTP, or any combination of these
4 doses
but...
3 doses meet requirement for ages 7-17 years if at least one dose was given on or after the 2nd birthday. If last dose was given before the 2nd birthday, one more (Td) dose is required.
Measles, Mumps, Rubella (MMR) 1
Given together as one injection.

1 or 2 doses 2
Must be given on or after the 1st birthday.
Hepatitis B
3 doses
Required for all children entering kindergarten on or after 8/97, and all children entering 7th grade on or after 7/1/99.
Varicella (Effective 7/1/2001) 1 dose
Required for all children entering kindergarten. Must be given on or after the 1st birthday or as an alternative, provider documentation of chickenpox disease.
1 Mumps is recommended but not required for children over age 7.
2 A second dose of MMR is legally required at kindergarten entry and 7th grade entry.

Immunizations required for Day Care Centers, Preschools, Headstart Programs, Family Day Care Homes and Calworks Eligibility
Hib Vaccine Special Schedule (PDF, 2pp.)
Instructions for Completing the Annual Childcare Immunization Report (PDF, 2pp.)
Worksheet for the Annual Childcare Immunization Report (PDF, 2pp.)
Age of Child Number of doses required
Under 2 months None required
2-3 months 1 Polio, 1 DTaP (or DTP), 1 Hib and 1 Hep B
4-5 months 2 Polio, 2 DTaP (or DTP), 2 Hib and 2 Hep B
6-14 months 2 Polio, 3 DTaP (or DTP), 2 Hib and 2 Hep B
15-17 months 3 Polio, 3 DTaP (or DTP) and 2 Hep B
1 Hib at any age (changed from "on or after the 1st birthday")
1 MMR is needed on or after the 1st birthday
Effective 7-1-01: 1 Varicella required for all children 18 months of age and older or provider documentation of chickenpox disease
18 months through 4 years 3 Polio, 4 DTaP (or DTP), 3 Hep B
1 MMR given on or after the 1st birthday
1 Hib at any age (changed from "on or after the 1st birthday")
DOCUMENTATION:
All pupils entering schools, day care, preschool, headstarts or family day care homes must present a written immunization record from a health care provider. Transfer students may present the California School Immunization Record (the blue card) from their prior school.
The record must show the month and year for each vaccine received, and month, day, and year for MMR and Hib if received in the month of the first birthday.


Content provided by the Public Health Division of Contra Costa Health Services.

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