Get CA IMM-231 2021-2024

1. Notify parents of required immunizations and collect immunization records. 2. Copy the date of each vaccine from the child s immunization record to the California School Immunization Record Blue Card CDPH-286 and/or supplemental Tdap sticker PM 286 S 01/11 or enter into an approved electronic system that prints a Blue Card. Do/immunization 4. Determine whether child can be admitted. Continued on next page. IMM-231 11/15 California Department of Public Health Immunization Branch ShotsForSchool.org ADMIT A CHILD WHO Has all immunizations required for their age or grade or Submits a personal beliefs exemption before January 1 2016 for missing shot s and immunization records with dates for all required shots not exempted or Submits a physician s written statement of a medical exemption for missing shot s and immunization He/she is missing a dose s in a series but the next dose is not due yet. GUIDE TO IMMUNIZATIONS REQUIRED FOR SCHOOL ENTRY G R A D E S TK / K 1 2 Entry Requirements by Age and Grade Before Entering Vaccine 4-6 Years Old 7-17 Years Old 7th Grade Elementary School at Transitional-Kindergarten/ Kindergarten and Above Elementary or Secondary School Polio OPV or IPV 4 doses 3 doses OK if one was given on or after 4th birthday 2nd birthday Diphtheria Tetanus and Pertussis 5 doses of DTaP DTP or DT 1 dose of Tdap 3 doses ok if last dose was given on or after 2nd birthday. At least one dose must be Tdap or DTaP/DTP given on graders. Or DTP/DTaP given on or after the 7th birthday. Measles Mumps and Rubella MMR or MMR-V 1 dose 2 doses of MMR or Both given on or after 1st birthday. Only one dose of mumps and rubella vaccines are required if given separately. Dose given on or after 1st birthday. Mumps vaccine is not required if given separately. Hepatitis B Hep B or HBV Varicella chickenpox VAR MMR-V or VZV any measles-containing vaccine Both doses given on 1 dose for ages 7-12 years. 2 doses for ages 13-17 years. New admissions to 7th grade should also meet the requirements for ages 7-17 years. INSTRUCTIONS California schools are required to check immunization records for all new student admissions at Kindergarten/TK through 12th grade and all students advancing to 7th grade before entry. 3. Compare number of doses on the Blue Card to the requirements above. Questions Visit ShotsForSchool*org or Contact your local health department bit. This means the child has received at least one dose in a series and the deadline for the next dose has not passed* The child may not be admitted if the deadline has passed or has not yet received the 1st dose. Has a temporary medical exemption to certain vaccine s and has submitted an immunization record for vaccines not exempted* When Missing Doses Can Be Given Age Years Missing Dose Earliest Date After Previous Dose Deadline 2nd 6 weeks 10 weeks 3rd 12 months 4th If the 3rd dose was given before the 4th birthday one more dose is required before admission* Under 7 2nd or 3rd 6 months 5th If the 4th dose was given before the 4th birthday one more 2 months after 2nd dose and at least 4 months after 1st dose DTaP DTP or DT Tdap or Td 7 Older MMR Hep B DO NOT ADMIT A CHILD WHO Does not fit one of the previous categories.