State Vaccine Mandates and Exemptions (U-W)

Utah

 

Daycare Vaccine Mandates:

IMMUNIZATION REQUIREMENTS FOR CHILDREN IN EARLY CHILDHOOD PROGRAMS

(Includes children in a licensed day care center, nursery or preschool, child care facility, family home care, or Head Start Program)

Diphtheria  Tetanus  Pertussis

 Polio

Measles  Mumps  Rubella

Hepatitis B and Hepatitis A

Varicella (Chickenpox)

Pneumococcal

Haemophilus Influenzae type b

*New requirements

NOTE: Rotavirus and Influenza vaccines are recommended, but are not required for students in early childhood programs.

Children attending early childhood programs are required to be immunized appropriately for age. This means a child has received all of the doses of each vaccine appropriate for his or her age. Children should be immunized according to current immunization schedules.

School Age Vaccine Mandates:

Immunization Record Form

IMMUNIZATION REQUIREMENTS FOR SCHOOL AGED CHILDREN

A student born AFTER July 1, 1993
A student born AFTER July 1, 1996
Seventh Grade Entry Requirements
Immunization Requirements for Children in Early Childhood Programs

A student born AFTER July 1, 1993
5 DTP/DTaP/DT – 4 doses if 4th dose was given on/after the 4th birthday
4 Polio – 3 doses if 3rd dose was given on/after the 4th birthday
2 Measles
2 Mumps
2 Rubella
3 Hepatitis B

A student born AFTER July 1, 1996
5 DTP/DTaP/DT – 4 doses if 4th dose was given on/after the 4th birthday
4 Polio – 3 doses if 3rd dose was given on/after the 4th birthday
2 Measles
2 Mumps
2 Rubella
3 Hepatitis B
1 Varicella (chickenpox) -history of disease is acceptable, parent must sign verification statement
2 Hepatitis A

SEVENTH GRADE ENTRY REQUIREMENTS:

A student born AFTER July 1, 1993 and entering the 7th grade must have:
1 Tdap booster -Td may be given for the Tdap booster to satisfy the 7th grade requirement
1 Varicella (chickenpox) -history of disease is acceptable, parent must sign verification statement*
3 Hepatitis B

*If a student is 13+ years of age, two doses of Varicella vaccine should be given at least four weeks apart.

Code Ann. § 53A-11-301. Certificate of immunization required

(1) Unless exempted for personal, medical, or religious objections as provided in Section 53A-11-302, a student may not attend a public, private, or parochial kindergarten, elementary, or secondary school through grade 12, nursery school, licensed day care center, child care facility, family care home, or headstart program in this state unless there is presented to the appropriate official of the school a certificate of immunization from a licensed physician or authorized representative of the state or local health department stating that the student has received immunization against communicable diseases as required by rules adopted under Section 53A-11-303.

(2) School districts may not receive weighted pupil unit monies for a student unless the student has obtained a certificate of immunization under this section or qualifies for conditional enrollment or an exemption from immunization under Section 53A-11-302.

Also see: Utah School and Early Childhood Program Immunization Guidebook

 

 

Exemptions allowed are Medical, Religious, and Philosophical

*State form for exemption required. Forms must be obtained through the Health Department.

*Sample of what the medical, religious, and philosophical form looks like. (pg 32-34)

Utah Code Ann. § 53A-11-302. Immunizations required — Exceptions — Grounds for exemption from required immunizations

(1) A student may not enter school without a certificate of immunization, except as provided in this section.

(2) A student who at the time of school enrollment has not been completely immunized against each specified disease may attend school under a conditional enrollment if the student has received one dose of each specified vaccine prior to enrollment.

(3) A student is exempt from receiving the required immunizations if there is presented to the appropriate official of the school one or more of the following:

(a) a certificate from a licensed physician stating that due to the physical condition of the student one or more specified immunizations would endanger the student’s life or health;
(b) A completed form obtained at the local health department where the student resides, providing:

(i) the information required under Subsection 53A-11-302.5(1); and (ii) a statement that the person has a personal belief opposed to immunizations, which is signed by one of the individuals listed in Subsection 53A-11-302(3)(c) and witnessed by the local health officer or his designee; or

(c) a statement that the person is a bona fide member of a specified, recognized religious organization whose teachings are contrary to immunizations, signed by one of the following persons:

(i) one of the student’s parents;
(ii) the student’s guardian;
(iii) a legal age brother or sister of a student who has no parent or guardian; or
(iv) the student, if of legal age.

Utah Code Ann. § 53A-11-302.5. Personal belief immunization exemption

(1) The Department of Health shall provide to all local health departments a form to be used by persons claiming an exemption from immunization requirements based on a personal belief opposed to immunization. The form shall include a statement printed on the form and drafted by the Department of Health stating the department’s position regarding the benefits of immunization. The form shall require, at a minimum:

(a) a statement claiming exemption from immunizations required under Section 53A-11-302, signed by a person listed under Subsection 53A-11-302(3)(c);
(b) the name and address of the person who signs the form;
(c) the name of the student exempted from immunizations; and
(d) the school at which the student is enrolling.

(2) (a) The Department of Health shall provide these forms to the local health departments.
(b) Local health departments shall make the forms available to the public upon request.

(3)(a) A student enrolling in a school and who claims exemption from immunizations based on a personal belief shall complete the form described in Subsection (1) and provide it to the school officials at the school in which the student is enrolling.
(b) Students who prior to July 1, 1992, claimed an exemption from immunizations based on personal beliefs shall prior to December 1, 1992, complete the form described in Subsection (1) and provide it to the appropriate official of the school the student attends.

R396-100-7. Conditional Enrollment and Exclusion

A school or early childhood program may conditionally enroll a student who is not appropriately immunized as required in this rule. To be conditionally enrolled, a student must have received at least one dose of each required vaccine and be on schedule for subsequent immunizations.

If subsequent immunizations are one calendar month past due, the school or early childhood program must immediately exclude the student from the school or early childhood program.

(1) A school or early childhood program with conditionally enrolled students shall routinely review every 30 days the immunization status of all conditionally enrolled students until each student has completed the subsequent doses and provided written documentation to the school or early childhood program.

(2) Once the student has met the requirements of this rule, the school or early childhood program shall take the student off conditional status.

 

R396-100-8. Exclusions of Students Who Are Under Exemption and Conditionally Enrolled Status

 

(1) A local or state health department representative may exclude a student who has claimed an exemption to all vaccines or to one vaccine or who is conditionally enrolled from school attendance if there is good cause to believe that the student has a vaccine preventable disease and:

(a) has been exposed to a vaccine-preventable disease; or

(b) will be exposed to a vaccine-preventable disease as a result of school attendance.

(2) An excluded student may not attend school until the local health officer is satisfied that a student is no longer at risk of contracting or transmitting a vaccine-preventable disease.

 

Virginia

 

Daycare and School Age Vaccine Mandates:

 

Documentary proof shall be provided of adequate age appropriate immunization with the prescribed number of doses of vaccine indicated below for attendance at a public or private elementary, middle or secondary school, child care center, nursery school, family day care home or developmental center.  Vaccines must be administered in accordance with the harmonized schedule of the Centers for Disease Control and Prevention, American Academy of Pediatrics, and American Academy of Family Physicians and must be administered within spacing and age requirements (available at http://www.vdh.virginia.gov/Epidemiology/Immunization/acip.htm).

Diphtheria, Tetanus, & Pertussis (DTaP, DTP, or Tdap) – A minimum of 3 doses. A child must have at least one dose of DTaP or DTP vaccine on or after the fourth birthday. If the child has received six doses of DTaP or DTP before the fourth birthday, additional doses are contraindicated. DT (Diphtheria, Tetanus) vaccine is required for children who are medically exempt from the pertussis containing vaccine (DTaP or DTP). Adult Td is required for children 7 years of age and older who do not meet the minimum requirements for tetanus and diphtheria. Effective July 1, 2006, a booster dose of Tdap vaccine is required for all children entering the 6th grade, if at least five years have passed since the last dose of tetanus-containing vaccine.

Haemophilus Influenzae Type b (Hib) Vaccine – This vaccine is
required ONLY for children up to 60 months of age. A primary series consists of either 2 or 3 doses (depending on the manufacturer). However, the child’s current age and not the number of prior doses received govern the number of doses required. Unvaccinated children between the ages of 15 and 60 months are only required to have one dose of vaccine.

Hepatitis B Vaccine – A complete series of 3 doses of hepatitis B vaccine is required for all children. However, the FDA has approved a 2-dose schedule ONLY for adolescents 11-15 years of age AND ONLY when the Merck Brand (RECOMBIVAX HB) Adult Formulation Hepatitis B Vaccine is used. If the 2-dose schedule is used for adolescents 11-15 years of age it must be clearly documented on the school form.

Measles, Mumps, & Rubella (MMR) Vaccine – A minimum of 2 measles, 1 mumps, and 1 rubella. (Most children receive 2 doses of each because the vaccine usually administered is the combination vaccine MMR). First dose must be administered at age 12 months or older. Second dose of vaccine does not have to be administered until age 4-6 years (usually at entry to kindergarten) but can be administered at any time after the minimum interval between dose 1 and dose 2.

Pneumococcal (PCV) Vaccine- This vaccine is
required ONLY for children less than two years of age. Two to four doses, dependent on age at first dose, of pneumococcal 7-valent conjugate vaccine are required.

Polio Vaccine – A
minimum of 3 doses of all IPV or all OPV polio vaccine. If a child has had only three doses of polio vaccine, one dose must have been administered on or after the fourth birthday. However, a child who has received four doses of any combination of IPVor OPV polio vaccine before the fourth birthday is adequately immunized and does not need a dose after the fourth birthday.

Varicella (Chickenpox) Vaccine – All susceptible children born on and after January 1, 1997, shall be required to have one dose of chickenpox vaccine administered at age 12 months or older.

Health and Immunization Form  Also see: Health Form Instructions

 

§ 22.1-271.2. Immunization requirements.

A. No student shall be admitted by a school unless at the time of admission the student or his parent submits documentary proof of immunization to the admitting official of the school or unless the student is exempted from immunization pursuant to subsection C or is a homeless child or youth as defined in subdivision 6 of § 22.1-3. If a student does not have documentary proof of immunization, the school shall notify the student or his parent (i) that it has no documentary proof of immunization for the student; (ii) that it may not admit the student without proof unless the student is exempted pursuant to subsection C, including any homeless child or youth as defined in subdivision 6 of § 22.1-3; (iii) that the student may be immunized and receive certification by a licensed physician, registered nurse or an employee of a local health department; and (iv) how to contact the local health department to learn where and when it performs these services. Neither this Commonwealth nor any school or admitting official shall be liable in damages to any person for complying with this section.

Any physician, registered nurse or local health department employee performing immunizations shall provide to any person who has been immunized or to his parent, upon request, documentary proof of immunizations conforming with the requirements of this section.

B. Any student whose immunizations are incomplete may be admitted conditionally if that student provides documentary proof at the time of enrollment of having received at least one dose of the required immunizations accompanied by a schedule for completion of the required doses within 90 days.

The immunization record of each student admitted conditionally shall be reviewed periodically until the required immunizations have been received.

Any student admitted conditionally and who fails to comply with his schedule for completion of the required immunizations shall be excluded from school until his immunizations are resumed.

C. No certificate of immunization shall be required for the admission to school of any student if (i) the student or his parent submits an affidavit to the admitting official stating that the administration of immunizing agents conflicts with the student’s religious tenets or practices; or (ii) the school has written certification from a licensed physician or a local health department that one or more of the required immunizations may be detrimental to the student’s health, indicating the specific nature and probable duration of the medical condition or circumstance that contraindicates immunization.

However, if a student is a homeless child or youth as defined in subdivision 6 of § 22.1-3 and (a) does not have documentary proof of necessary immunizations or has incomplete immunizations and (b) is not exempted from immunization pursuant to clauses (i) or (ii) of this subsection, the school division shall immediately admit such student and shall immediately refer the student to the local school division liaison, as described in the federal McKinney-Vento Homeless Education Assistance Improvements Act of 2001, as amended (42 U.S.C. § 11431 et seq.) (the Act), who shall assist in obtaining the documentary proof of, or completing, immunization and other services required by such Act.

D. The admitting official of a school shall exclude from the school any student for whom he does not have documentary proof of immunization or notice of exemption pursuant to subsection C, including notice that such student is a homeless child or youth as defined in subdivision 6 of § 22.1-3.

E. Every school shall record each student’s immunizations on the school immunization record. The school immunization record shall be a standardized form provided by the State Department of Health, which shall be a part of the mandatory permanent student record. Such record shall be open to inspection by officials of the State Department of Health and the local health departments.

The school immunization record shall be transferred by the school whenever the school transfers any student’s permanent academic or scholastic records.

Within 30 calendar days after the beginning of each school year or entrance of a student, each admitting official shall file a report with the local health department. The report shall be filed on forms prepared by the State Department of Health and shall state the number of students admitted to school with documentary proof of immunization, the number of students who have been admitted with a medical or religious exemption and the number of students who have been conditionally admitted, including those students who are homeless children or youths as defined in subdivision 6 of § 22.1-3.

F. The requirement for Haemophilus Influenzae Type b immunization as provided in § 32.1-46 shall not apply to any child admitted to any grade level, kindergarten through grade 12.

G. The Board of Health shall promulgate rules and regulations for the implementation of this section in congruence with rules and regulations of the Board of Health promulgated under § 32.1-46 and in cooperation with the Board of Education.

§ 32.1-46. Immunization of patients against certain diseases.

A. The parent, guardian or person standing in loco parentis of each child within this Commonwealth shall cause such child to be immunized in accordance with the Immunization Schedule developed and published by the Centers for Disease Control and Prevention (CDC), Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP), and the American Academy of Family Physicians (AAFP). The required immunizations for attendance at a public or private elementary, middle or secondary school, child care center, nursery school, family day care home or developmental center shall be those set forth in the State Board of Health Regulations for the Immunization of School Children. The Board’s regulations shall at a minimum require:

1. A minimum of three properly spaced doses of hepatitis B vaccine (HepB).

2. A minimum of three or more properly spaced doses of diphtheria toxoid. One dose shall be administered on or after the fourth birthday. A booster dose shall be administered prior to entering the sixth grade if at least five years have passed since the last dose of diphtheria toxoid.

3. A minimum of three or more properly spaced doses of tetanus toxoid. One dose shall be administered on or after the fourth birthday. A booster dose of Tdap vaccine shall be administered prior to entering the sixth grade if at least five years have passed since the last dose of tetanus toxoid.

4. A minimum of three or more properly spaced doses of acellular pertussis vaccine. One dose shall be administered on or after the fourth birthday. A booster dose shall be administered prior to entry into the sixth grade if at least five years have passed since the last dose of pertussis vaccine.

5. Two or three primary doses of Haemophilus influenzae type b (Hib) vaccine, depending on the manufacturer, for children up to 60 months of age.

6. Two properly spaced doses of live attenuated measles (rubeola) vaccine. The first dose shall be administered at age 12 months or older.

7. One dose of live attenuated rubella vaccine shall be administered at age 12 months or older.

8. One dose of live attenuated mumps vaccine shall be administered at age 12 months or older.

9. All susceptible children born on and after January 1, 1997, shall be required to have one dose of varicella vaccine on or after 12 months.

10. Three or more properly spaced doses of oral polio vaccine (OPV) or inactivated polio vaccine (IPV). One dose shall be administered on or after the fourth birthday. A fourth dose shall be required if the three dose primary series consisted of a combination of OPV and IPV.

11. Two to four doses, dependent on age at first dose, of properly spaced pneumococcal 7-valent conjugate (PVC) vaccine for children less than two years of age.

12. (Effective October 1, 2008) Three doses of properly spaced human papillomavirus (HPV) vaccine for females. The first dose shall be administered before the child enters the sixth grade.

The parent, guardian or person standing in loco parentis may have such child immunized by a physician or registered nurse or may present the child to the appropriate local health department, which shall administer the vaccines required by the State Board of Health Regulations for the Immunization of School Children without charge.

B. A physician, registered nurse or local health department administering a vaccine required by this section shall provide to the person who presents the child for immunizations a certificate that shall state the diseases for which the child has been immunized, the numbers of doses given, the dates when administered and any further immunizations indicated.

C. The vaccines required by this section shall meet the standards prescribed in, and be administered in accordance with, regulations of the Board.

D. The provisions of this section shall not apply if:

1. The parent or guardian of the child objects thereto on the grounds that the administration of immunizing agents conflicts with his religious tenets or practices, unless an emergency or epidemic of disease has been declared by the Board;

2. The parent or guardian presents a statement from a physician licensed to practice medicine in Virginia, or a licensed nurse practitioner, that states that the physical condition of the child is such that the administration of one or more of the required immunizing agents would be detrimental to the health of the child; or

3. (Effective October 1, 2008) Because the human papillomavirus is not communicable in a school setting, a parent or guardian, at the parent’s or guardian’s sole discretion, may elect for the parent’s or guardian’s child not to receive the human papillomavirus vaccine, after having reviewed materials describing the link between the human papillomavirus and cervical cancer approved for such use by the Board.

E. For the purpose of protecting the public health by ensuring that each child receives age-appropriate immunizations, any physician, physician assistant, nurse practitioner, licensed institutional health care provider, local or district health department, the Virginia Immunization Information System, and the Department of Health may share immunization and patient locator information without parental authorization, including, but not limited to, the month, day, and year of each administered immunization; the patient’s name, address, telephone number, birth date, and social security number; and the parents’ names. The immunization information; the patient’s name, address, telephone number, birth date, and social security number; and the parents’ names shall be confidential and shall only be shared for the purposes set out in this subsection.

F. The State Board of Health shall review this section annually and make recommendations for revision by September 1 to the Governor, the General Assembly, and the Joint Commission on Health Care.

(Code 1950, § 32-57.1; 1968, c. 592; 1972, c. 558; 1979, c. 711; 1980, c. 410; 1989, c. 382; 1991, c. 133; 1992, cc. 127, 166; 1994, c. 62; 1995, cc. 729, 742; 1996, cc. 67, 533; 1999, cc. 632, 676, 738; 2000, c. 476; 2004, c. 855; 2005, cc. 643, 684; 2006, cc. 364, 396, 716; 2007, cc. 858, 922.)

 College Students

§ 23-7.5. Health histories required; immunizations.

A. No full-time student shall be enrolled for the first time in any four-year, public institution of higher education in this Commonwealth unless he has furnished, before the beginning of the second semester or quarter of enrollment, a health history consistent with guidelines adopted by each institution’s board of visitors, pursuant to the requirements of this section. Any student who fails to furnish the history will not be eligible for registration for the second semester or quarter. Any student who objects on religious grounds shall be exempt from the health history requirement set forth in this section.

B. The health history shall include documented evidence, provided by a licensed health professional or health facility, of the diseases for which the student has been immunized, the numbers of doses given, the dates when administered and any further immunizations indicated. Prior to enrollment, all students shall be immunized by vaccine against diphtheria, tetanus, poliomyelitis, measles (rubeola), German measles (rubella), and mumps according to the guidelines of the American College Health Association.

C. In addition to the immunization requirements set forth in subsection B, all incoming full-time students, prior to enrollment in any public four-year institution of higher education, shall be vaccinated against (i) meningococcal disease and (ii) hepatitis B.

However, if the institution of higher education provides the student or, if the student is a minor, the student’s parent or other legal representative, detailed information on the risks associated with meningococcal disease and hepatitis B and on the availability and effectiveness of any vaccine, the student or, if the student is a minor, the student’s parent or other legal representative may sign a written waiver stating that he has received and reviewed the information on meningococcal disease and hepatitis B and the availability and effectiveness of any vaccine and has chosen not to be or not to have the student vaccinated.

D. Any student shall be exempt from the immunization requirements set forth in this section who (i) objects on the grounds that administration of immunizing agents conflicts with his religious tenets or practices, unless an emergency or epidemic of disease has been declared by the Board of Health, or (ii) presents a statement from a licensed physician which states that his physical condition is such that administration of one or more of the required immunizing agents would be detrimental to his health.

E. The Board and Commissioner of Health shall cooperate with any board of visitors seeking assistance in the implementation of this section.

F. Further, the State Council of Higher Education shall, in cooperation with the Board and Commissioner of Health, encourage private colleges and universities to develop a procedure for providing information about the risks associated with meningococcal disease and hepatitis B and the availability and effectiveness of any vaccine against meningococcal disease and hepatitis B.

Exemptions allowed are Medical and Religious:

§ 32.1-46. Immunization of patients against certain diseases.

D. The provisions of this section shall not apply if:

1. The parent or guardian of the child objects thereto on the grounds that the administration of immunizing agents conflicts with his religious tenets or practices, unless an emergency or epidemic of disease has been declared by the Board;

2. The parent or guardian presents a statement from a physician licensed to practice medicine in Virginia, or a licensed nurse practitioner, that states that the physical condition of the child is such that the administration of one or more of the required immunizing agents would be detrimental to the health of the child; or

3. (Effective October 1, 2008) Because the human papillomavirus is not communicable in a school setting, a parent or guardian, at the parent’s or guardian’s sole discretion, may elect for the parent’s or guardian’s child not to receive the human papillomavirus vaccine, after having reviewed materials describing the link between the human papillomavirus and cervical cancer approved for such use by the Board.

Religious Exemption Form

*must be notarized

 

Vermont

 

Daycare and School Age Vaccine Mandates:

 

 vermontdaycare

 

 vermontschoolage

 

Vermont Department of Health Immunization Regulations

I. AUTHORITY: These regulations are adopted under the authority granted to the Department of Health by 18 V.S.A. § 1123 and further defined by 18 V.S.A. § 1120 – 1122, 1124, 1126 and 1129.

 

V. REQUIRED IMMUNIZATIONS

The following are effective for the school year commencing August 2008:

(1) Students entering kindergarten on or after August 1, 2008 are required to have received the following in accordance with ACIP recommendations on the scheduling of vaccinations and on minimal intervals between doses, allowing for the ACIP-approved four-day grace period*:

                        5 DTaP – 4 if the 4th dose was given on/after the 4th birthday

                        4 Polio – 3 if the 3rd dose was given on/after the 4th birthday

                        2 Measles

                        2 Mumps

                        2 Rubella

                        3 Hepatitis B

                        2 Varicella – waived if the parent or guardian presents a Department-supplied form indicating the student has a history of disease

 

(2) Students entering 7th grade on or after August 1, 2008 are required to have received the following in accordance with ACIP recommendations on the scheduling of vaccinations and on minimal intervals between dose, allowing for the ACIP-approved four-day grace period*:

                        5 DTaP/DTP – 4 doses if the 4th dose was given on/after the 4th birthday. For pupils who, after the sixth birthday, have not completed these requirements three doses of Td or 2 doses of Td and one dose of Tdap is acceptable.

                        4 Polio – 3 if the 3rd dose was given on/after the 4th birthday

                        2 Measles

                        2 Mumps

                        2 Rubella

                        3 Hepatitis B

                        1 Meningococcal conjugate vaccine (only for students attending residential-based schools (such as boarding schools) who live at these facilities.

                        2 Varicella – waived if the parent or guardian presents a Department-supplied form indicating the student has a history of disease

                        1 Tdap booster

 

(3) Students entering a post-secondary school on or after August 1, 2008 are required to have received the following in accordance with ACIP recommendations on the scheduling of vaccinations and on minimal intervals between dose, allowing for the ACIP-approved four-day grace period*:

                        1 Tdap/Td booster administered within the past 10 years

                        2 Measles

                        2 Mumps

                        2 Rubella

                        3 Hepatitis B

                        1 Meningococcal conjugate vaccine (only for first year students living in dormitories)

                        2 Varicella – waived if student presents a Department-supplied form indicating a history of disease

 

* Certain vaccines, for example some combination vaccines, are administered using schedules and minimal intervals that are not in accordance with the ACIP recommendations. In some situations, this is acceptable practice, provides for appropriate protection against disease, and eliminates the need for repeat immunization. As a result, the Health Department Immunization Program reserves the right to allow for certain exclusions to this policy. Such exclusions, when deemed necessary by the Immunization Program, will be provided in writing to physicians and other health care providers who administer immunizations, and to school nurses and others required to verify compliance.

 

VIII. PROVISIONAL ADMITTANCE

A student may be admitted to school provisionally if a physician, nurse practitioner, or physician assistant, indicates the student is in the process of complying with all immunization requirements. Such provisional admission shall be for a reasonable length of time that is consistent with the immunization schedule set forth in section V but shall not exceed one year. The school shall maintain a roster of provisionally admitted students and continue follow-up until requirements are met.

 

IX. EXCLUSION FROM SCHOOL AND PENALTY FOR NONCOMPLIANCE

(1) Students not in compliance with all immunization requirements shall not be allowed to enter school. The student or in the case of a minor the student’s parent or guardian must receive written notification by mail or in person that the student is not in compliance as well as the steps needed to comply.

(2) No principal, headmaster, Registrar or other person in charge of a school shall knowingly admit or retain any student who has not submitted acceptable evidence of immunization, except when there are exemptions as noted in section IV. Any principal, headmasters, Registrar or other person in charge of a school that is not in compliance with this provision is subject to fines up to $10,000 for each occurrence in accordance with 18 V.S.A. §130 (b)(6).

 

Exemptions allowed are Medical, Religious, and Philosophical

 

Exemption Form to Chickenpox Vaccine

Exemption Form for medical and religious

*selective vaccine exemptions allowed

 

Vermont Department of Health Immunization Regulations

I. AUTHORITY: These regulations are adopted under the authority granted to the Department of Health by 18 V.S.A. § 1123 and further defined by 18 V.S.A. § 1120 – 1122, 1124, 1126 and 1129.

 

IV. INCLUSIONS AND EXEMPTIONS:

 

(1) For students in any public or independent kindergarten, elementary or secondary school:

(a) All students are subject to these regulations.

(2) For students in any public or independent post-secondary school:

(a) All students born after 1956 who are enrolling into a health science program either part-time or full-time are subject to these regulations

(b) Except for students enrolling into a health science program, all students born after 1956 enrolling more than half time as undergraduates are subject to these regulations with the exception of the following:

(i) Students whose instruction solely involves research, field work, or study away from the school.

(ii) Students whose instruction is provided in a non-campus-based setting.

(c) All students born during or before 1956, all undergraduate students enrolled half-time or less, and all graduate students are exempt from these regulations.

(3) Persons who are not citizens of the United States must receive the appropriate immunizations unless they can provide an immunization record documenting the receipt of required immunizations at the appropriate ages and intervals or unless they can provide laboratory evidence of immunity. Any full or part time student attending a post-secondary institution in Vermont while on a student or other visa, including a student attending or visiting classes or programs as part of a formal academic visitation or exchange program is subject to the same requirements.

(4) Persons are exempt from these regulations provided they meet one or more of the following as defined in 18 V.S.A. § 1122 (a):

(a) If the person, or in the case of a minor the person’s parent or guardian, presents a Department-supplied form, signed by a licensed physician, physician assistant, health clinic, or nurse, indicating the person is in the process of being immunized. This form shall be maintained by the school as part of the student’s immunization record.

(b) If the person, or in the case of a minor the person’s parent or guardian, presents a Department-supplied form, signed by a licensed physician, physician assistant, or nurse practitioner, indicating a specific immunization is or may be detrimental to the person’s health or is not appropriate. The form must include the reason for the contraindication and the time period for which the immunization is contraindicated.

This form shall be maintained by the school as part of the student’s immunization record.

(c) If the person, or in the case of a minor the person’s parent or guardian, presents a Department-supplied form, indicating that the person, parent, or guardian has religious beliefs or moral convictions opposed to immunizations. This form shall be maintained by the school as part of the student’s immunization record.

 

 

Washington-

 

Mandated Vaccines:

 

Daycare and Preschool

 

washdaycare

 

School age 2009-2010

washschoolage

 

washscholage2

Allows Medical, Religious and Personal Exemptions

Exemption Form

WAC 246-100-166:

 

*C) Exemption under subsection (2)(f) of this section;

     (vi) Notice to parents that if an outbreak of vaccine-preventable disease for which the child is exempted occurs, the child may be excluded from school or child care for the duration of the outbreak;

(7) A local health officer may exclude a child from school or child care under chapter 246-110 WAC during an outbreak of a vaccine-preventable disease if the child has not been fully immunized against that disease due to:

     (a) Medical exemption;

     (b) Conditional status;

     (c) Religious exemption;

     (d) Philosophical exemption; or

     (e) Personal exemption.

     (8) Implementation.

Medical: (A) A permanent medical exemption is allowed when a signature of a licensed medical doctor (M.D.), a doctor of osteopathy (D.O.), doctor of naturopathy (N.D.), physician assistant (P.A.), or nurse practitioner (A.R.N.P.), acting within the scope of practice, certifies medical reasons to defer or forego one or more immunizations required for full immunization under subsection (2)(g) of this section.

Other: (B) If immunizations are deferred on a temporary basis, the student must receive the required immunizations upon expiration of the exemption.

     (ii) Parent(s) sign and submit a CIS form indicating a religious or philosophical, or personal exemption.

     (iii) Parent(s) sign and submit a CIS form indicating conditional status if there is evidence of satisfactory progress toward full immunization, including: (A) Documentation of start or continuance towards full immunization status; (B) Documentation that immunizations received are consistent with the National Immunization Guidelines defined in subsections (2)(j) and (k) of this section; and (C) Documentation of when the next immunization is due.

 

West Virginia

 

Daycare Mandates:

 

wvirgindaycare

 

Pre-Kindergarten Mandates

 

wvirginiaprek

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

School Age Mandates and New K-12 Students

 

wvirginnewstudents

 

 College Entry Requirements

 

Medical Exemption Only

 

*Occurrence of prior disease can be used as evidence of immunity or immunity may be proven through laboratory testing. §64-95-4

 

§64-95-6. Proof of Immunity.

 

6.4. Proof of prior measles, mumps, rubella, pertussis or hepatitis B disease being used in lieu of vaccination requires a document signed by a physician indicating, at a minimum, the name of the patient, the date of the illness and any obtained laboratory evidence of the diagnosis. If the historical disease diagnosis is in question, current laboratory evidence of immunity may be required.

 

6.5. The verbal or written statement of the parent or legal guardian of a child shall suffice to prove that a child has had chickenpox and is considered to be proof of immunity.

 

 

64CSR95: TITLE 64 INTERPRETIVE RULE

DEPARTMENT OF HEALTH AND HUMAN RESOURCES

BUREAU FOR PUBLIC HEALTH

SERIES 95 IMMUNIZATION REQUIRMENTS AND RECOMMENDATIONS

FOR NEW SCHOOL ENTERERS

 

§64-95-5. Compliance with the Law.

 

5.2. If a child has been determined to be medically exempt from receiving one or more vaccinations, in accordance with the provisions of section nine of this rule, the certificate of immunization shall note specifically which vaccine the child is exempt from, the reason for the exemption, and whether or not the reason for the exemption is permanent or temporary. If the exemption is temporary, a notation shall be

made as to the future date at which the exemption should be reevaluated.

 

5.4. Provisional enrollment may continue for up to seven months from school entry. After attending school for a maximum of seven months, all provisionally enrolled students shall show proof to the school that they have completed all of the required immunizations.

 

5.5. Children who are delinquent for any required vaccinations, or who have exceeded the seven month provisional enrollment period, will be considered to be out of compliance with the law and may be required to stop attending school until the appropriate vaccine(s) are received and the records are amended.

 

§64-95-9. Medical Exemptions.

 

9.1. The provisions of this rule may not apply if a child has a valid medical contraindication or precaution to a particular vaccine. To obtain a medical exemption the child’s parent or guardian shall present a written request for an exemption from a physician who has treated or examined the child to the local health officer in the county where the child attends school.

 

9.2. The physician’s request for exemption from immunization shall state specifically which

vaccine or vaccines the child should be exempt from receiving, an explanation of the medical

contraindication or precaution relied upon to make the request, and whether the reason for the

exemption is permanent or temporary. If the medical exemption is temporary, the request

shall also provide the future date or time when the exemption should be reevaluated.

 

 

9.3. Requests for medical exemption from vaccine requirements shall be reviewed and approved or denied initially by the local health officer in the county where the requestor attends school. Approval or denial of a request shall be in writing and a copy of the response shall be sent to the State Health Officer.

 

9.4. Local health officials shall verify that immunization exemptions are entered into the West Virginia Statewide Immunization Information System — WVSIIS– to enable support of individuals at increased risk of disease in an outbreak and to aid in disease control and surveillance.

 

9.5. The local health officer’s decision on a request for a medical exemption from immunization may be reviewed by the State Health Officer. The request for state level review and the State Health Officer’s decision on such requests shall be in writing.

 

9.6. Appeal from the ruling of the State Health Officer may be made through the administrative review procedure described in section ten of this rule.

 

9.7. All requests for medical exemption from immunization shall be reviewed, and determinations made, based on current medical science and recommendations from the Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP), and the American Academy of Family Physicians (AAFP).

 

 

 Wisconsin

 

Daycare and School Age Mandates:

 

 wisconsindaycare

 

 wisconsinschoolage

 

Exemptions allowed are Medical, Religious, and Philosophical

 

Immunization Record Form for School age

Immunization Record Form for Daycare

 

*Immunization Record Form also includes medical, religious and philosophical exemption-check the appropriate box. An additional statement may be needed.

 

WISCONSIN. HEALTH CHAPTER 252. COMMUNICABLE DISEASES

Wis. Stat. § 252.04. Immunization program.

(1) The department shall carry out a statewide immunization program to eliminate mumps, measles, rubella (German measles), diphtheria, pertussis (whooping cough), poliomyelitis and other diseases that the department specifies by rule, and to protect against tetanus. Any person who immunizes an individual under this section shall maintain records identifying the manufacturer and lot number of the vaccine used, the date of immunization and the name and title of the person who immunized the individual. These records shall be available to the individual or, if the individual is a minor, to his or her parent, guardian or legal custodian upon request.

(2) Any student admitted to any elementary, middle, junior or senior high school or into any day care center or nursery school shall, within 30 school days, present written evidence to the school, day care center or nursery school of having completed the first immunization for each vaccine required for the students grade and being on schedule for the remainder of the basic and recall (booster) immunization series for mumps, measles, rubella (German measles), diphtheria, pertussis (whooping cough), poliomyelitis, tetanus and other diseases that the department specifies by rule or shall present a written waiver under sub. (3)

(3) The immunization requirement is waived if the student, if an adult, or the students parent, guardian or legal custodian submits a written statement to the school, day care center or nursery school objecting to the immunization for reasons of health, religion or personal conviction. At the time any school, day care center or nursery school notifies a student, parent, guardian or legal custodian of the immunization requirements, it shall inform the person in writing of the persons right to a waiver under this subsection.

(4) The student, if an adult, or the students parent, guardian or legal custodian shall keep the school, day care center or nursery school informed of the students compliance with the immunization schedule.

(a) By the 15th and the 25th school day after the student is admitted to a school, day care center or nursery school, the school, day care center or nursery school shall notify in writing any adult student or the parent, guardian or legal custodian of any minor student who has not met the immunization or waiver requirements of this section. The notices shall cite the terms of those requirements and shall state that court action and forfeiture penalty could result due to noncompliance. The notices shall also explain the reasons for the immunization requirements and include information on how and where to obtain the required immunizations.

1. A school, day care center or nursery school may exclude from the school, day care center or nursery school any student who fails to satisfy the requirements of sub. (2)
2. Beginning on July 1, 1993, if the department determines that fewer than 98% of the students in a day care center, nursery school or school district who are subject to the requirements of sub. (2) have complied with sub. (2), the day care center or nursery school shall exclude any child who fails to satisfy the requirements of sub. (2) and the school district shall exclude any student enrolled in grades kindergarten to 6 who fails to satisfy the requirements of sub. (2)
3. Beginning on July 1, 1995, if the department determines that fewer than 99% of the students in a day care center, nursery school or school district who are subject to the requirements of sub. (2) have complied with sub. (2), the day care center or nursery school shall exclude any child who fails to satisfy the requirements of sub. (2) and the school district shall exclude any student enrolled in grades kindergarten to 6 who fails to satisfy the requirements of sub. (2)
4. No student may be excluded from public school under this paragraph for more than 10 consecutive school days unless, prior to the 11th consecutive school day of exclusion, the school board provides the student and the students parent, guardian or legal custodian with an additional notice, a hearing and the opportunity to appeal the exclusion, as provided under s. 120.13 (1) (c) 3.

(6) The school, day care center or nursery school shall notify the district attorney of the county in which the student resides of any minor student who fails to present written evidence of completed immunizations or a written waiver under sub. (3) within 60 school days after being admitted to the school, day care center or nursery school. The district attorney shall petition the court exercising jurisdiction under chs. 48 and 938 for an order directing that the student be in compliance with the requirements of this section. If the court grants the petition, the court may specify the date by which a written waiver shall be submitted under sub. (3) or may specify the terms of the immunization schedule. The court may require an adult student or the parent, guardian or legal custodian of a minor student who refuses to submit a written waiver by the specified date or meet the terms of the immunization schedule to forfeit not more than $ 25 per day of violation.

(7) If an emergency arises, consisting of a substantial outbreak as determined by the department by rule of one of the diseases specified in sub. (2) at a school or in the municipality in which the school is located, the department may order the school to exclude students who are not immunized until the outbreak subsides.

(8) The department shall provide the vaccines without charge, if federal or state funds are available for the vaccines, upon request of a school district or a local health department. The department shall provide the necessary professional consultant services to carry out an immunization program, under the requirements of sub. (9), in the jurisdiction of the requesting local health department. Persons immunized may not be charged for vaccines furnished by the department.

(9) (a) An immunization program under sub. (8) shall be supervised by a physician, selected by the school district or local health department, who shall issue written orders for the administration of immunizations that are in accordance with written protocols issued by the department.
(b) If the physician under par. (a) is not an employee of the county, city, village or school district, receives no compensation for his or her services under par. (a) and acts under par. (a) in accordance with written protocols issued by the department, he or she is a state agent of the department for the purposes of ss. 165.25 (6), 893.82 (3) and 895.46 (c) The department may disapprove the selection made under par. (a) or may require the removal of a physician selected.

(10) The department shall, by rule, prescribe the mechanisms for implementing and monitoring compliance with this section. The department shall prescribe, by rule, the form that any person immunizing a student shall provide to the student under sub. (1)

(11) Annually, by July 1, the department shall submit a report to the legislature under s. 13.172 (3) on the success of the statewide immunization program under this section.

Wis. Stat. § 252.09 Meningococcal disease and hepatitis B.

(1) Each private college and university in this state shall do all of the following:

(a) Annually, provide detailed information on the risks associated with meningococcal disease and hepatitis B and the availability and effectiveness of vaccines against the diseases to each enrolled student, if he or she is at least 18 years old, or to the student’s parent or guardian, if the student is a minor.
(b) Require a student who resides in a dormitory or residence hall, or the student’s parent or guardian if the student is a minor, to affirm that the student received the information under par. (a).
(c) Require a student who resides in a dormitory or residence hall to affirm whether he or she has received the vaccination against meningococcal disease and to provide the date of the vaccination, if any.
(d) Require a student who resides in a dormitory or residence hall to affirm whether he or she received the vaccination against hepatitis B and to provide the date of the vaccination, if any.
(e) Maintain a confidential record of the affirmations and the dates of the vaccinations of each student under pars. (c) and (d).

(2) Nothing in this section requires a college or university to provide or pay for vaccinations against meningococcal disease or hepatitis B.

 College:

WISCONSIN.CHAPTER 36. UNIVERSITY OF WISCONSIN SYSTEM. Wis. Stat. § 36.25 Special programs. (46) Meningococcal disease and hepatitis B.

(a) The board shall do all of the following:

1. Annually, provide detailed information on the risks associated with meningococcal disease and hepatitis B and the availability and effectiveness of vaccines against the diseases to each enrolled student, if he or she is at least 18 years old, or to the student’s parent or guardian, if the student is a minor.
2. Require a student who resides in a dormitory or residence hall, or the student’s parent or guardian if the student is a minor, to affirm that the student received the information under subd. 1.
3. Require a student who resides in a dormitory or residence hall to affirm whether he or she has received the vaccination against meningococcal disease and to provide the date of the vaccination, if any.
4. Require a student who resides in a dormitory or residence hall to affirm whether he or she has received the vaccination against hepatitis B and to provide the date of the vaccination, if any.
5. Maintain a confidential record of the affirmations and the dates of the vaccinations of each student under subds. 3. and 4.

(b) Nothing in this subsection requires the board to provide or pay for vaccinations against meningococcal disease or hepatitis B.

 

 

Wyoming

 

Daycare and School Age Vaccine Mandates:

 

MINIMUM IMMUNIZATION REQUIREMENTS Day Care/Pre-School/Head Start APPLIES TO CHILDREN OVER 18 MONTHS OF AGE

 

Age appropriately immunized; (MMR after 1 year of age and a minimum of one HIB)

 

Kindergarten through 6th Grade

51 DTaP/DTP/DT (at least one dose must be administered on or after the 4th birthday)

42 Polio (at least one dose must be administered on or after 4th birthday)

23 MMR

3 Hepatitis B all students entering Kindergarten beginning in the fall of 1999

K-1st grade in 2000

K-2nd grade in 2001

K-3rd grade in 2002

K-4th grade in 2003

K-5th grade in 2004

K-6th grade in 2005

 

7th Grade Students through 12th Grade

DTaP/DTP/DT/Td4 Age-appropriate, series complete + one additional Td4

Polio Age-appropriate, series complete

23 MMR

3 Hepatitis B6 for all students entering the 7th grade beginning in the Fall of 1998

7-8th grade in 1999

7-9th grade in 2000

7-10th grade in 2001

7-11th grade in 2002

7-12th grade in 2003

 

Other Students5 (e.g. Transfer Students)

DTaP/DTP/DT/Td4 Age-appropriate, series complete

Polio Age-appropriate, series complete

23 MMR

3 Hepatitis B6 as required for other students in grade of entry

 

FOOTNOTES

 

1 If 4th DTP dose was administered on or after 4th birthday, a 5th dose is not required.

2 Administration of 4 doses is considered optimal. Sequential, IVP or OPV may be used, but the final dose MUST BE GIVEN ON OR AFTER THE AGE OF 4; even if this means a 5th dose. If a 3rd dose is received on of after age 4, no additional doses are required.

3 The 1st dose on or after the 1st birthday. The 2nd dose should be given at 4-6 years of age, prior to entry into kindergarten, but may be given as early as 1 month after the 1st dose.

4 An adolescent tetanus diphtheria booster is required for all 7th grade studentswho have not received a tetanus or diphtheria vaccination during the previous 5 years. Subsequently, Td boosters are recommended every 10 years.

5 For students 7 years of age and older who were not immunized prior to the 7th birthday,a total of 3 doses of Td vaccine, 3 doses of polio vaccine, 2 doses of MMR and 3 doses of Hepatitis B vaccine (if required for other students in grade of entry) are required.

6 As of fall 2000, an optional approved 2-dose schedule for adolescents, ages 11-15 is also acceptable.

 

Exemptions allowed are Medical and Religious

 

*You must also obtain a Religious Exemption Form from the health department stating that the administration of immunizing agents conflicts with religious tenets and religious practices. It must also be notarized.

 

*selective vaccine exemption allowed

 

RULES AND REGULATIONS FOR SCHOOL IMMUNIZATION

 

CHAPTER 1 Section 1.Authority. The authority to prescribe rules and regulation for the management and control of communicable diseases is contained in W.S. 35-1-240 ii, W.S. 35-4-101, W.S. 21-4-309, and W.S. 14-4-116. 

 

(c) A pupil shall not be required to have any immunizations which are medically contraindicated.

The State Health Officer or County Health Officer shall grant a medical exemption from the specific immunization requirement in these regulations upon receiving a signed, notarized, Wyoming Department of Health, Medical Exemption form. This form must be accompanied by written evidence from any physician licensed to practice medicine in any jurisdiction of the United States, that the administration of the specific immunization is medically contraindicated to the pupil. The exemption shall be maintained by the school as part of the immunization record of the pupil.

 

(d) A pupil who requires a series of immunizations over a period of more than thirty (30) calendar

days, shall be permitted to attend school while receiving continuing immunization if the School Administrator receives written notification by a licensed private physician or his representative or by a public health official, specifying a written schedule for necessary immunization completion within the medically accepted time

period.

(e) A pupil shall be exempted from mandatory immunizations based on evidence of a truly held

and genuine religious objection. The parent or guardian shall sign a notarized, Wyoming Department of Health, Religious Exemption form stating that the administration of immunizing agents conflicts with his religious tenets and religious practices. This exemption will be maintained by the school as part of the immunization record of the pupil.

(f) In the presence of an outbreak of vaccine preventable disease as determined by the State

Health Officer or County Health Officer, pupils who have been granted a medical or religious exemption and others that are not fully immunized against the specific disease occurring, shall be excluded from attendance, for a period of time determined by the State Health Officer or County Health Officer. Pupils excluded from attendance under this section shall not be counted in the aggregate number of pupils absent as defined in W.S.

 

21-13-101(a) (i).

Section 4. Immunization Records.

(a) Every School and Child-care facility shall maintain a record of immunization for every pupil,

on forms supplied by the Wyoming Department of Health. If a pupil transfers to another school, this record

shall be sent to the new school by the original school of attendance.

(b) The following documents will be accepted as evidence of a pupil’s immunization history

provided that the individual immunizations and the day, month, and year when each immunization was administered is documented:

(i) An official school immunization record from any school indicating compliance with the immunization requirements of these regulations.

(ii) An immunization record from any Public Health Department or unit indicating compliance with the immunization requirements of these regulations.

(iii) A certificate signed by a physician licensed to practice medicine in any jurisdiction of theUnited States indicating compliance with the immunization requirements of these regulations.

 

(c) The School Administrator and the Child-care Facility Administrator shall make immunization records available at the School or Child-care facility for inspection and review by authorized representatives of the Wyoming Department of Health.

 

Section 5. Exclusion from School and Child-care Facility during communicable disease outbreak.

(a) In case of a vaccine-preventable disease outbreak, all pupils who are not fully immunized against the occurring vaccine preventable disease shall be excluded from attending school or child-care during the existence of the outbreak as determined by the State Health Officer or County Health Officer. Those excluded will include pupils who have been granted a medical or religious exemption and those who do not have documented proof of complete immunization or serologic evidence of immunity in accordance with Section 4 herein.

 

Section 6. Reports Required.

(a) A report of the immunization status and conditional enrollment of the pupils in every school and child-care facility shall be sent once a year to the Wyoming Department of Health by the School Administrator and Child-care Facility Administrator. The forms shall be provided by the Wyoming Department of Health and shall be submitted to the Wyoming Department of Health no later than November 1 each year.

 

Section 7. Immunizations Required. Immunizations required and recommended by the State Health

Officer under this Section are based on national immunization recommendations published by the ACIP

(United States Public Health Service, Immunization Practices Advisory Committee), IDSA, (Infectious Disease Society of America) and the AAP (American Academy of Pediatrics). These immunization requirements and recommendations are utilized by the Wyoming Department of Health as standard medical practice in Wyoming. The immunization recommendations periodically change based on development and icensure of new vaccines and/or modification of administration schedules based on present and ongoing medical scientific research. The attached current Immunization Schedule will be revised accordingly.

Section 8. Appeal Process. If a parent objects to a County Health Officer’s ruling on a medical exemption or a religious exemption, the parent may request a review and final decision by the State Health Officer. The child will remain in school during any appeal process unless there is an outbreak of the disease.

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