Memo addresses vaccination requirements for school-aged children.

(8) A child who is 4 years through 6 years of age and who is entering school shall be in compliance with all of the following immunization requirements:

• (a) Have received 4 doses of any appropriate diphtheria vaccine and, if a dose was not received on or after the fourth birthday, a booster dose at school entry.
• (b) Have received 4 doses of any appropriate tetanus vaccine and, if a dose was not received on or after the fourth birthday, a booster dose at school entry.
• (c) Have received 4 doses of any appropriate pertussis vaccine and, if a dose was not received on or after the fourth birthday, a booster dose at school entry.
• (d) Have received 4 doses of any appropriate polio vaccine. If dose 3 was administered on or after the fourth birthday only 3 doses are required.
• (e) Have evidence of measles immunity as shown by either of the following:
• (i) Two doses of any appropriate live measles vaccine received after the first birthday, not less than 28 days apart.
• (ii) Laboratory evidence of measles immunity.
• (f) Have evidence of mumps immunity as shown by either of the following:
• (i) Two doses of any appropriate live mumps vaccine received after the first birthday, not less than 28 days apart.
• (ii) Laboratory evidence of mumps immunity.
• (g) Have evidence of rubella immunity as shown by either of the following:
• (i) Two doses of any appropriate live rubella vaccine received after the first birthday, at least 28 days apart.
• (ii) Laboratory evidence of rubella immunity.
• (h) Three doses of any appropriate hepatitis B vaccine or a laboratory finding of hepatitis B immunity or disease satisfies this requirement.
• (i) Have evidence of varicella immunity as shown by any of the following:
• (i) Two doses of any appropriate live varicella vaccine at or after 12 months of age.
• (ii) Laboratory evidence of varicella immunity.
• (iii) A parent, guardian, person in loco parentis, or physician statement that the child has had varicella disease.

(1) A child enrolling in a public or nonpublic school for the first time or, beginning in the 2014-2015 school year, enrolling in grade 7 for the first time shall submit 1 of the following:

• (a) A statement signed by a physician that the child has been tested for and immunized or protected against diseases specified by the director of the department of community health.
• (b) A statement signed by a parent or guardian to the effect that the child has not been immunized because of religious convictions or other objection to immunization.
• (c) A statement signed by a physician that certifies that the child is in the process of complying with all immunization requirements.