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National Center for Immunization and Respiratory Diseases
Immunization Requirements

Program Contents
Full Report (PDF)*
Summary of Requirements
Immunization Requirements
Diphtheria, Tetanus and acellular Pertussis (DTaP)
Tetanus and Diptheria (Td) Booster
Hepatitis A (Hep A)
Hepatitis B (Hep B)
Haemophilus influenzae Type b (Hib)
Measles, Mumps and Rubella (MMR)
Measles Dose 2
Meningococcal Conjugate vaccine (MCV4)
Pneumococcal Conjugate vaccine (PCV)
Polio
Varicella
Exemptions Allowed


Childcare and School Immunization Requirements

Exemptions Allowed (2007-2008)
Project Medical Religious Philosophical
Temporary Permanent
Alabama     X   X  
Alaska      X   X  
Arizona   X   X   **   *
Arkansas   X     X   X
California   X   X   X   X
Colorado   X   X   X   X
Connecticut     X   X  
Delaware   X   X   X  
District of Columbia   X   X   X  
Florida   X   X   X  
Georgia   X     X  
Hawaii   X   X   X  
Idaho   X   X   X   X
Illinois     X   X  
Indiana^   X   X   X  
Iowa   X   X   X  
Kansas   X     X  
Kentucky   X   X   X  
Louisiana   X   X   X   X
Maine   X     X   X
Maryland   X   X   X  
Massachusetts   X   X   X  
Michigan   X   X   X   X
Minnesota   X   X   X   X
Mississippi   X   X    
Missouri     X  *   **
Montana   X   X   X  
Nebraska   X   X   X   **
Nevada   X   X   X  
New Hampshire   X     X  
New Jersey   X   X   X  
New Mexico   X   X   X   X
New York   X   X   X  
North Carolina   X   X   X  
North Dakota     X   X   X
Ohio   X   X   X   X
Oklahoma   X   X   X   X
Oregon   X   X   X  
Pennsylvania   X   X   X  
Rhode Island   X   X   X  
South Carolina   X   X   X  
South Dakota     X   X  
Tennessee   X   X   X  
Texas   X   X   X   X
Utah   X   X   X   X
Vermont   X   X   X   X
Virginia   X   X   X  
Washington   X   X   X   X
West Virginia   X   X    
Wisconsin   X   X   X   X
Wyoming   X   X   X  
X Exemption allowed
* Allowed in schools only
** Allowed in childcare and head start facilities only
^ Medical exemptions are referred to as "Acute" and "Chronic"
Note: Federated States/Micronesia, Marshall Islands, Palau did not report requirements


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This page last reviewed June 23, 2008

Centers for Disease Control and Prevention
National Center for Immunization and Respiratory Diseases
Immunization Services Division