• Immunization Requirements for Grades PK-8


    Each student enrolling for the first time in the district school, preschool, or child care and development program, shall present an immunization record from any authorized private or public health care provider certifying that he/she has received immunization in accordance with State law. Students shall be excluded from school or exempted from immunization requirements only as allowed by law.

    California:  Guide to Immunizations Required for School Entry Grades TK/K-12  -  Spanish

    New Regulations (starting July 1, 2019) Frequently Asked Questions

    Personal Beliefs Exemption: 

    Starting January 1, 2016, parents or guardians of students in any school or child-care facility, whether public or private, will no longer be allowed to submit a personal beliefs exemption to a currently-required vaccine.

    Personal beliefs exemptions filed at a school or child-care facility before January 1, 2016 will remain valid until the student enrolls in the next grade span, typically at kindergarten or 7th grade.

    Varicella Immunization requirement for TK/K-12 admission or for advancement into the 7th grade a school can no longer accepts a 'history of chickenpox (had disease)'.  This is not suffficient documentation to meet the school requirements. A medical exemption document may be used for a child who had chickenpox disease that was documented by a physician.  This is usually done by the physician having a titer done to verify the immunity.  See medical exemption requirements below.

    Medical Exemptions: 

    Starting January 1, 2021, (SB 276 and SB 714) new immunization medical exemptions can only be issued through the California Immunization Registry- Medical Exemption (CAIR-ME) website by physicians licensed in California.  Schools can only accept from parents new medical exemptions that are issued using CAIR-ME.

    Parents can create an account and log in to CAIR-ME to submit a request for a medical exemption.  Next, the child’s doctor can complete the medical exemption in CAIR-ME and print a copy for the parents to give to the child’s school. 

     Medical Exemption FAQs  


    Immunization Requirements for Advancing to the 7th Grade:

    All students entering, advancing or transferring into 7th grade for the 2020-21 school year and beyond will need proof of an adolescent whooping cough booster immunization (called “Tdap”), a second MMR, and a second Varicella for school entry.  

    This school immunization law affects all students in public and private schools.  If your child currently has a Personal Belief Exception (PBE) on file it will not longer be valid entering the 7th grade.  Your child must be completely immunized for all the required immunizations for this age group.

    Pertussis is a very contagious respiratory disease that can be severe and last for months. The immunity received from either early childhood immunization or pertussis disease wears off over time, leaving older students and adults susceptible again to pertussis. Immunization with Tdap can protect students, schools and communities against pertussis.