Centers for Disease Control and Prevention

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
Project	Temporary	Permanent	Religious	Philosophical
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