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Immunization Requirements and Health Forms

Background Information on the New Immunization Requirements

On June 30, 2015, Governor Brown signed Senate Bill 277 (SB 277), which changes school immunization requirements. Under the new legislation, as of January 1, 2016, personal belief exemptions will no longer be accepted for the state's required immunizations. On this page you can find an FAQ about the new requirements, as well as the new immunization requirements for kindergarten pre-enrollment and by grade level and additional health requirements for students in kindergarten and first grade.


Shots for school.pdf (PDF)

Immunization Requirements by Grade Level

Immunization Requirements for TK and Kindergarten Pre-Enrollment

The California Department of Public Health determines the immunization requirements for school entry. Per California Health and Safety Code, Sections 120325-120375, the requirements for pre-enrollment into AUSD for Transitional Kindergarten or Kindergarten are listed below and in this printable document.


Make sure that your child is on track to complete immunization requirements. Children behind on their required immunizations will not be permitted to enroll into an AUSD school without documentation from a physician stating that 1) they are not currently due for any doses (due to being on an alternative immunization schedule), or 2) they have a valid medical exemption. Please see the Instant Childhood Immunization Schedule on the CDC website for a list of recommended dates for immunizations based on your child's birth date.


If your child receives any additional vaccinations between their date of enrollment into AUSD and the first day of the 2016-2017 school year, you must bring the updated immunization records into your school office sometime during the two week period prior to the first day of school. Remember, children who have not provided AUSD with documentation verifying they have received all required immunizations prior to the first day of school will not be allowed to attend school until all immunization records have been provided.


Immunization Requirements TK/K
Vaccine Doses Special Considerations

Diphtheria, Tetanus, & Pertussis

(DPT, DTaP, Tdap)


4 doses accepted

if one dose was given

on or after 4th birthday.

Polio 4

3 doses accepted

if one dose was given

on or after 4th birthday.

Hepatitis B 3 No special considerations permitted.

Measles, Mumps, Rubella



Both doses must be given

on or after 1st birthday

Only one dose of mumps

and rubella vaccines required

if given separately.

Varicella (chickenpox) 2

Vaccine is not required for

students with documentation

from a physician verifying history

of varicella (chickenpox) disease

or immunity.

Immunizations Requirements for Grades 1-12

The following table lists the immunizations that are required, by state law, to enroll in a public school in this state. Printable version of this table.


Immunization Requirements 1-12
Vaccine 4-6 years 7-17 7th grade1
Polio (OPV or IPV)

4 doses 

(3 doses acceptable

if at least one dose was

given on or after  4th birthday.)

4 doses 

(3 doses acceptable

if at least one dose was given on or after 2nd birthday.)

Diphtheria, tetanus, & pertussis (DTaP, DTP, DT, or Tdap)

5 doses

(4 doses acceptable if at least one dose was given on or after  

4th birthday.)

3 doses

(4 doses required if

last dose was before

2nd  birthday. At least

one dose must be

Tdap or DTaP/DTP

given on or after 7th

birthday for all 7th-12th graders.)

1 dose

(Or DTP/DTaP given on

or after the 7th birthday.)

Measles, Mumps, & Rubella

(MMR or MMR-V)

2 doses

(Both doses given

on or after 1st


Only one dose

of mumps

and rubella vaccines

required if given


1 dose

(Dose given on or after 1st birthday. Mumps

vaccine is not

required if given separately.)

2 doses MMR or any measles-containing vaccine.

(Both doses given on or after 1st birthday.)

Hepatitis B

(Hep B or HBV)

3 doses    


(chickenpox, VAR, MMR-V or VZV)2

2 doses




1 New admissions to 7th grade should also meet the requirements for ages 7-17 years.

2 Physician-documented varicella (chickenpox) disease history or immunity meets the varicella requirement.

Additional Health Requirements for Students in Grades K-1

In recognition of the importance of a child's health to their success in school, California law requires all students to provide proof of health examination or a signed waiver before admission into kindergarten or first grade. The health examination consists of a physical examination and an oral health assessment. 


All children entering the first grade must receive a physical examination any time between 18 months before first grade entry through 90 days after entry into first grade. The completed “Report of Health Examination” or a signed waiver must be presented to the school within 90 days of the start of the first grade year. 


For students enrolling into kindergarten for the 2020-2021 school year, the exam must be obtained on or after March 1, 2020, or during the kindergarten year. By state law, the form must be submitted to your school office prior to the end of the 2020-2021 school year.

All students entering kindergarten must receive an oral health assessment by May 31 of their kindergarten year. The exam can be obtained up to 12 months prior to the start of kindergarten (i.e., no earlier than September 2016), or any time during the kindergarten year. By state law, the exam must be completed and the form submitted to your school office prior to the end of the 2017-2018 school year.