NC Immunization Requirements

Image of teen girl getting vaccination Birth Certificate and Immunizations
In accordance with state law, parent/guardian enrolling a student MUST present a birth certificate,
immunization record, and proof of residence to school personnel. Within 30 days of the first day of
attendance, all students entering school for the first time shall have completed or have started the
course of immunizations for each of the following:

Students in grades Kindergarten to 5

 5 doses of DTP/DTaP (diphtheria, tetanus, and pertussis). A booster dose must be given on or after the fourth birthday. Children receiving the fourth DTP on or after the fourth birthday are not required to have the fifth dose.
 4 doses of Polio vaccine. The fourth dose is required on or after the fourth birthday and before entering school for the first time.
 2 doses of MMR (measles, mumps, and rubella). The first dose is required on or after the first birthday and there must be at least 28 day interval needed between doses.
 3 doses of Hepatitis B. The third dose shall not be given prior to 24 weeks of age if born on or after 11/17/2001.
 2 doses of Varicella. The first dose is required on or after the first birthday and there must be at least 28 day interval needed between doses. As of 7/01/2015, documentation of disease must include approximate date or age of infection and a healthcare provider signature.
 1-4 doses of Hib (Haemophilus influenzae, b conjugate). If the first dose is given on or after 15 months of age, the series is complete. If the fourth dose is given on or after 12 months of age, series is complete. Dosage requirement may vary depending on the vaccine type and the age when receiving the first dose. Hib vaccine is not given after five years of age.
 1-4 doses of Pneumococcal Conjugate. Required for individuals born on or after 7/01/2015 and if younger than five years of age. If the first dose is given on or after 24 months of age, series is complete. Dosage and interval requirements may vary depending on the age when receiving the first dose. Pneumococcal Conjugate vaccine is not given after five years of age.

Students in grade 6

Are required to have the same vaccines indicated in grades K-5. However, they are only required to have one dose of varicella.

Students in grades 7 to 11 Effective 7-1-2015

Are required to have the same vaccines indicated in grades K-5. However, they are only required to have one dose of varicella and the following:
 1 dose of Tdap (tetanus/diphtheria toxoid). Required if individual had not previously received it and are entering the 7th grade or by 12 years of age whichever comes first.
 1 dose of Meningococcal conjugate. First dose on or after 10th birthday. Required for individuals born on or after 1-1-2003 and entering the 7th grade or by 12 years of age, whichever comes first.

Students in grade 12

Are required to have the same vaccines indicated in grades K-5. However, they are only required to have one dose of varicella and the following:
 2 doses of Meningococcal conjugate. First dose on or after 10th birthday. Required for individuals born on or after 1-1-2003. Second dose not required if entered 12th grade before 8-1-2020 or if first dose received on or after 16th birthday.

Note: Four-day rule applies to all required minimum ages.

North Carolina Health Assessment Transmittal Form January 2016rev
North Carolina Health Assessment Transmittal Form Rev. 01/2016 North Carolina Law N.C.G.S. § 130 A 440 (a) requires a health assessment for any child entering a North  Carolina public school for the first time. The health assessment must be recorded on the NC Health Assessment Transmittal Form Rev. January 2016. Failure to submit documentation on the proper form within 30 calendar days of the first day of attendance will result in dismissal. The NC Health Assessment Transmittal Form Rev. January 2016  ay be found on the following webpage:
http://healthservices.ccs.k12.nc.us/forms/.

Printable Forms

Immunization Requirements for Students
NC Health Assessment Transmittal Form
NC Health Assessment Transmittal Form (Spanish)