Immunization and Health Requirements for Children

Author:   KCSOS Webteam  
Posted: 7/10/2007; 10:20:50 AM
Topic: Immunization and Health Requirements for Children
Msg #: 32 (top msg in thread)
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En español ~ Vacunas y Requisitos de Salud para Niños


Children beginning school for the first time must show proof that they have received a health examination and immunizations, before they can attend school.

vacc:

Each school will ask that a “REPORT OF HEALTH EXAMINATION FOR SCHOOL ENTRY” form be brought to school, completed and signed by a doctor.

THE HEALTH EXAMINATION:
Must be obtained no earlier than six months before entering kindergarten or eighteen months before entering first grade. Must include the following services:

  • a health and development history - a hearing test
  • a complete physical history - urine and blood screening test
  • an examination of teeth and gums - a tuberculosis skin test
  • a vision test - other tests if needed

GRADES K-12 IMMUNIZATIONS:
To enter or transfer into public and private elementary and secondary schools (grades kindergarten through 12), children under age 18 years must have immunizations as outlined below.

VACCINE

Polio

Diptheria, Tetanus, and Pertussis

  • Age 6 years and under (Pertussis is required) DTP, DTaP or any combination of DTP or DT

  • Age 7 years and older (Pertussis is not required) Td, DT, or DTP, DTaP or any combination

  • 7th Grade: Td booster

Measles, Mumps, Rubella (MMR)

  • Kindergarten
  • 7th Grade

Hepatitis B:

  • Kindergarten
  • 7th Grade

Varicella: Kindergarten

  • Out-of-state entrants (grades 1-12)

REQUIRED DOSES

4 doses at any age, but... 3 doses meet requirement for ages 4–6 years if at least one 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.

5 doses at any age, but... 4 doses meet requirements for ages 4–6 years if at least one was on or after the 4th birthday.

4 doses at any age, but... 3 doses meet requirement for ages 7–17 years if at least one was on or after the 2nd birthday. If last dose was given before the 2nd birthday, one more (Td) dose is required.

1 dose not required but recommended if more than 5 years have passed since last DTP, DTaP, DT, or Td dose.

2 doses both on or after 1st birthday.
2 doses both on or after 1st birthday.
1 dose must be on or after 1st birthday.

3 doses at any age
3 doses at any age

1 dose
1 dose
for children under 13 years; 2 doses are needed if immunized on or after 13th birthday.

If your child is on Medi-Cal or your family income is lower than 200% of the Federal Poverty Level, your child may be eligible for a FREE EXAMINATION AND IMMUNIZATIONS. The child must go to one of the CHDP PROGRAM CERTIFIED PHYSICIANS OR CLINICS listed in the resources at the bottom of this page. If you have Medi-Cal, call your Primary Care Physician for an appointment. If your child is not eligible for a free examination, call your family doctor, pediatrician, or USUAL SOURCE OF MEDICAL CARE. (The usual fee will be charged.)

If your child is not eligible for a free examination but still needs more immunizations and you cannot afford them, call the KERN COUNTY DEPARTMENT OF PUBLIC HEALTH at (661) 868-0305 to ask about immunization clinics.

EXEMPTIONS
The law allows (a) parents/guardians to choose an exemption from immunization requirements based on their personal beliefs, and (b) physicians of children to elect medical exemptions. The law does not allow parents/guardians to elect an exemption simply because of inconvenience (a record is lost or incomplete and it is too much trouble to go to a physician or clinic to correct the problem). See the back of the blue California School Immunization Record (PM 286) for instructions and the affidavit to be signed by parents/guardian selecting the personal beliefs exemption. For children with medical exemptions, the physician's written statement should be stapled to the CSIR. Schools should maintain an up-to-date list of pupils with exemptions, so they can be excluded quickly if an outbreak occurs.

IF YOU HAVE ANY QUESTIONS ABOUT SCHOOL ENTRY REQUIREMENTS:

Call your school district office for more information about your district’s requirements. Call the Health Department’s CHDP Program if you need more information about health examinations or are unable to obtain an examination for your child: (661) 868-0305 or (800) 974-2717.

Also, for additional resources, or for information in Spanish, you can visit the following websites by clicking on the control key and then “enter” for these links:

Health Requirements for Kindergarten/First Grade School Entry (Spanish)

Guide to the Requirements of the California School Immunization Law for Parents of Children In or Entering School or Childcare (English & Spanish)

Patient's Guide to CHDP Providers (English only)

Report of Health Examination For School Entry (English & Spanish)

Waiver of Health Examination For School Entry (English & Spanish)


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