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IMPORTANT: School Immunization Requirements

Dear Parents/Guardians:

Two years ago, the PA Department of Health made changes to the school immunization regulations. These regulations are intended to ensure that children attending school in PA are adequately protected against outbreaks of vaccine preventable diseases.

As in the past, all students must have at least one dose of each required immunization to register and attend classes on the first day of school, unless that student has a medical or religious/philosophical exemption. HOWEVER, families now only have five days to ensure their students have ALL of the required immunization doses or they will be excluded from class until they receive all of their shots.

Parents of students entering 7th grade or 12th grade must pay close attention to the requirements, as these are the grades in which new immunization requirements exist. Please ensure that immunizations are completed by the first day of the 2019-2020 school year so that your student is not excluded from classes. Please bring immunization records to the school where your student attends as soon as they are completed.

All students need:

  • 4 doses of tetanus, diphtheria and acellular pertussis* (1 dose on or after the 4th birthday)
  • 4 doses of polio (4th dose on or after 4th birthday and at least 6 months after previous dose given) **  
  • 2 doses of measles, mumps, rubella ***
  • 3 doses of hepatitis B
  • 2 doses of varicella (chickenpox) or evidence of immunity

7th graders also need:

  • 1 dose of tetanus, diphtheria, acellular pertussis (Tdap) by the first day of 7th grade
  • 1 dose of meningococcal conjugate vaccine (MCV) by the first day of 7th grade

12th graders also need:

  • 1 dose of meningococcal conjugate vaccine (MCV) by the first day of 12th grade. If one dose was given at 16 years of age or older, that shall count as the twelfth grade dose.

If it is not possible to complete all immunizations within the five-day period due to spacing or other medical reasons, families must present a medical plan completed by their family practitioner indicating dates for completion of each immunization series or students will be excluded from class.

If you need further assistance obtaining the required immunizations for your child, go to for more information. Additionally, for immunizations at low or no cost (depending on insurance), contact the PA Department of Health Clinic at 717-299-7597 (located at 1661 Old Philadelphia Pike) to schedule an appointment.

For more information, see

See a flyer here with more information.