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Immunizations Required for School Attendance

NYS Law

Public Health Law Section 2164 and New York Codes, Rules and Regulations (NYCRR) Title 10, Subpart 66-1 require every student entering or attending public, private or parochial school in NYS to be immune to diphtheria, tetanus, pertussis (DTP), measles, mumps, rubella (MMR), poliomyelitis (IPV), hepatitis B, and varicella (chickenpox) in accordance with Advisory Committee on Immunization Practices (ACIP) recommendations.

  • Students in grade 6-12 are also required to be vaccinated against pertussis with one dose of Tdap.

  • Students in grades 7-9 and 12 are also required to be vaccinated against meningococcal disease.

  • Students in preschool or prekindergarten are also required to be immune to Haemphilus influenzae type b (Hib) and pneumoncoccal disease (PCV).

Immunization Requirements for School Entrance/Attendance Chart 

**Students may receive immunizations at no cost at the Monroe County Public Health Department Immunization Clinic.


Immunizations Certificate

Complete Immunization Certificates must be submitted to the Health Office before students start school and must contain:

  • Signature of health care provider
  • Name of the vaccine and month, day and year of injection
  • Valid doses administered in compliance with ACIP recommendations, in relation to number of doses and minimal interval spacing

Failure to provide proof of compliance with the required immunizations for school attendance will result in the student's exclusion from school until documentation is provided.


Medical Exemptions

Medical exemptions must be renewed annually by a NYS licensed physician and submitted to school nurse yearly.

The Medical Exemption Form must list the immunization exempted, the medical contraindication and the length of time the immunization is contraindicated. 

Serologic proof of immunity can be accepted ONLY for the following diseases: measles, mumps, rubella, varicella, and hepatitis B.  
 
A health care provider’s signed statement attesting to the diagnosis of varicella is acceptable proof of immunity for varicella.


Religious Exemptions

Religious exemptions may be granted for genuine and sincere religious beliefs.  Philosophical exemptions are not permitted.

The parent/guardian must complete the Religious Exemption Packet and submit the application to the school principal within 14 days of school entry.

If approved, the document does not need to be renewed as long as child continues to attend a school in WCSD.


Disease Outbreak Exclusion

In the event that the Monroe County Public Health Department determines an outbreak of diphtheria, polio, measles, rubella or mumps is present in a school, all students in that school without documentation of immunity, including those with medical and religious exemptions, will be excluded from school until the outbreak is deemed resolved by the MCPHD. This exclusion could last as long as 28 days.


Understanding Vaccines

For evidence-based information about vaccines, please refer to the following documents Understanding Vaccines and Vaccine Safety.


 
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