Immunizations & Health Mandates
K-12 Admission Requirements
- Polio - 4 doses (3 doses OK if at least one is given on or after the 4th birthday).
- DTaP - 5 doses (4 doses OK if at least one is given on or after the 4th birthday, 3 doses OK if at least one dose of Tdap, DTaP, or DTP is given on or after the 7th birthday).
- Hepatitis B - 3 doses.
- Measles, Mumps, Rubella (MMR) - 2 doses given on or after the 1st birthday (two doses of measles, two doses of mumps, and one dose of rubella meet the requirement, either separately or combined).
- Varicella - 2 doses.
- Tdap (Grades 7th-12th) - 1 dose given on or after the 7th birthday.
7th Grade Advancement
- Tdap - 1 dose given on or after the 7th birthday.
- Varicella - 2 doses.
Students who had a valid personal beliefs exemption filed before 2016 between Kindergarten and 6th grade need to meet the requirements listed for TK/K-12 as well as requirements for 7th grade.
These students will need documentation for the following immunizations:
- Diphtheria, Tetanus, and Pertussis containing vaccine (DTaP, DTP, DT, Tdap, or Td) - 3 doses. One dose of Tdap vaccine given on or after the 7th birthday will meet the 7th grade requirement and count as one of the 3 doses required for students TK/K-12.
- Polio (OPV or IPV) - 4 doses (3 doses ok if one given on or after the 2nd birthday)
- MMR - 2 doses (or 2 doses of measles-containing vaccine and 1 dose of rubella vaccine)
- Varicella - 2 doses
All medical exemptions for schools and child care facilities must be submitted through the California Immunization Registry - Medical Exemption website (CAIR-ME) by physicians licensed in California. Schools and child care facilities may only accept new medical exemptions that are issued using CAIR-ME.
This change impacts medical exemptions for:
- New enrollments as of January 1, 2021.
- Students who transition to the next grade span (TK/K - 6th grade, 7th-12th grade).
- Students whose temporary medical exemption have expired.
- Medical exemptions that were revoked due to the issuing physician being a subject of disciplinary action.
In order to receive a medical exemption, parents must create a CAIR-ME account and log in to submit a request for a medical exemption. Next, the child's physician can complete the medical exemption in CAIR-ME and print a copy for the parents to give to the school or child care facility.
A medical exemption may be issued in CAIR-ME no more than 12 months before a child first enters a grade span (grade spans are birth-preschool, TK/K-6th, and 7th-12th).
Families who have a medical exemption due to a history of disease, for example from Varicella / Chickenpox, must also follow this process.
To request a medical exemption, please visit the CAIR-ME web page.
For Frequently Asked Questions on Medical Exemptions, please visit Shots for School web page.
For additional questions about submitting a request through CAIR-ME, please follow up with your child's physician. For questions about PAUSD Registration, please email Registration Services or call (650) 329-3707.
Tuberculosis (TB) Requirements
Students newly enrolling into a school in Santa Clara County are required to have their healthcare provider complete a TB Risk Assessment for School Entry form completed by a United States licensed health professional.
- TB skin or blood testing is only required if their healthcare provider identifies a risk factor for TB exposure on the TB Risk Assessment form.
- To be valid, documentation must show a TB risk assessment or tests was performed in the United States up to twelve months prior to registration for school.
For information on tuberculosis requirements and where to get a tuberculosis screening for your child in Santa Clara County, click here.
Oral Health Assessment KINDERGARTEN ONLY
A dental check-up is required by May 31st of Kindergarten or 1st grade for students who did not attend a California public school for Kindergarten.
- To be valid, the form must show the oral health examination was preformed no earlier than 12 months prior to the date of initial enrollment.
- For information on low-cost dental clinics, click here.
- For families with DentiCal, the following lists providers who accept DentiCal:
Health Examination (CHDP Report) FIRST GRADE ONLY
California law requires a health assessment 18 months before or up to 90 days after enrolling in first grade.
Immunization or Health Mandate records from your child's physician can be delivered to your child's school site or Health Services:
- By mail:
Attn: Health Services
25 Churchill Ave.
Palo Alto, 94306
- By fax: (650) 833-4226
District Office Portable A
25 Churchill Ave.
Palo Alto, 94306
Hours: 8 am - 4:45 pm (note - during summer, the District Office is closed on Fridays).
- Vaccine information
- Where may I find immunization coverage data for children in schools and child care facilities?
- What is required for new admissions for a medical exemption to a required immunization?
- Does a medical exemption filed for a child attending before January 1, 2021, need to meet the new requirements?
- May other practitioners, besides licensed physicians (MDs and DOs), provide a medical exemption to a required immunization?
- To meet the chickenpox requirement for TK/K-12 admission or for advancement into 7th grade, may a school accept an immunization record that indicates a "history of chickenpox disease"?
- What are the requirements for students entering a home-based private school or independent study program and do not receive classroom-based instruction?
- Are students who are homeless or in foster care subject to the immunization requirements?
- Are California schools and child care facilities required to report the immunization status of all pupils at selected ages and grades?
- May schools and child care facilities share student immunization information with public health agencies?
If you have questions please contact Health Services.