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Important Notice to Parents
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Getting Ready 
child learn
What
does Hawai'i State Law require for School Attendance?
Hawai'i
State Law requires all students to meet examination and immunization requirements before they may attend any public
or private school in the state. School means any:
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Are Exemptions Allowed?Children may be exempt from immunization requirements for medical or religious reasons, if the appropriate documentation is presented to the school. Religious exemption forms may be completed at the school that your child will attend. Medical exemptions must be obtained from your child's doctor. No other exemptions are allowed by the State. |
What are the health requirements?
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TUBERCULOSIS CLEARANCE:
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| 2 |
PHYSICAL EXAMINATION:
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| 3 |
IMMUNIZATIONS:Immunizations required for school attendance:
All immunizations must meet minimum age and interval requirements between vaccine doses. |
What is required by the first day of school?
By
the first day of school, all students entering school in Hawai'i for the first time must have:
1. Results of a Tuberculosis examination, completed within one year before school entrance
2. A completed health record form to prove that a physical examination was performed within one year before school entrance, and that all immunization requirements have been met.
A signed statement or appointment slip from your doctor to prove that your child has a physical examination scheduled and/or has begun the vaccination series and is waiting for the next dose in the series.
| Students who have not completed the above requirements by the first day of school will not be allowed to attend school until these requirements are met. |
Where
do I get the "Student Health Record" form?
You can get a copy of the "Student Health Record" (form 14) from the school where your child will be enrolled or from your child's doctor.
What if my child is transferring from another state or territory of the U.S.?
You will need to show proof that the health requirements have been met prior to school entry. The school will accept out-of-state records that meet the State of Hawai'i requirements for the physical examination, tuberculosis examination, and immunizations.
Which immunizations are required and how many doses does my child need?
Immunizations are required for all students entering preschool, kindergarten, and 7th grade, and for those students entering school in Hawai'i for the first time, regardless of age. See the tables on the following pages for the specific vaccines and number of doses required.
| BY THIS AGE: | CHILDREN ARE REQUIRED TO HAVE: |
|---|---|
| 3 months |
1 DTaP (see note 1) + 1 Polio + 1 Hep B + Hib (see note 2) |
| 5 months |
2 DTaP (see note 1) + 2 Polio + 2 Hep B + Hib (see note 2) |
| 7 months |
3 DTaP (see note 1) + 2 Polio + 2 Hep B + Hib (see note 2) |
| 16 months |
3 DTaP (see note 1) + 2 Polio + 2 Hep B + 1 MMR (see note 3) + Hib (see note 2) |
| 19 months |
4 DTaP (see note 1) + 3 Polio + 3 Hep B + 1 MMR (see note 3) + Hib (see note 2) + 1 Varicella(see note 4) |
Vaccine abbreviations: DTaP=Diphtheria-Tetanus-Acellular Pertussis; Polio=IPV (Inactivated poliovirus vaccine) or OPV (Oral poliovirus vaccine); MMR=Measles-Mumps-Rubella; Hib=Haemophilus influenzae type b; Hep B=Hepatitis B vaccine; Varicella=chickenpox.
Notes:
- DTP may be used in place of DTaP.
- More than one dose of Hib is recommended for children less than 15 months of age to be fully protected against Haemophilus influenzae. type b. For preschool entry, children must have received at least one dose of Hib on or after 12 months of age.
- MMR #1 and Varicella #1 must have been received on or after 12 months of age.
- Effective July 1, 2002 . A documented history of Varicella (chickenpox), signed by a U.S. Licensed MD, DO, APRN, or PA, may be substituted for the Varicella vaccine requirement.
| VACCINE | NO. OF DOSES |
|---|---|
| DTaP or DTP (Diphtheria, Tetanus, Pertussis) | 5 |
| Polio (IPV or OPV) | 4 |
| MMR (Measles, Mumps, Rubella) | 2 (see note 1) |
| Hepatitis B | 3 (see note 2) |
| Varicella (chickenpox) | 1 or 2 (see note 3) |
Vaccine abbreviations: DTaP=Diphtheria-Tetanus-Acellular Pertussis, Polio=IPV (Inactivated poliovirus vaccine) or OPV (Oral poliovirus vaccine).
Notes:
- Two doses of measles vaccine are required, with at least one of the two being MMR vaccine.
- Required for school attendance for all students born after December 31, 1992 and for 7th grade attendance.
- Effective July 1, 2002. 2 doses of varicella vaccine are required if the first dose is administered on or after the 13th birthday. A documented history of Varicella (chickenpox), signed by a U.S. licensed MD, DO, APRN, or PA, may be substituted for the Varicella vaccine requirement.
| VACCINE | NO. OF DOSES |
|---|---|
| Hepatitis B | 3 |
| MMR (Measles, Mumps, Rubella) | 2 |
| Varicella (chickenpox) | 1 or 2 (see note) |
In addition to meeting the K-12 immunization requirements upon first school attendance listed in the table above, all students must show evidence of having received these immunizations prior to 7th grade attendance. Students who received these vaccines in infancy or childhood do not need to receive them again, as long as all doses meet the minimum age and interval requirements
Notes:
- Two doses of Varicella vaccine are required if the first dose is administered on or after the 13th birthday. A documented history of varicella (chickenpox), signed by a U.S. licensed MD, DO, APRN, or PA, may be substituted for the Varicella vaccine requirement.
TUBERCULOSIS EXAMINATION AND IMMUNIZATIONS can be obtained from your private physician or the Public Health Nursing Clinics. Call ASK ALOHA UNITED WAY (275-2000) or the Hawaii Immunization Program (586-8332) for the location nearest you. |
Questions?Call the State of Hawai'i Department of Health at:Hawai'i Immunization Program
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| Hawai'i | 974-6025 |
| Maui | 984-8260 |
| Kaua'i | 241-3387 |
| Moloka'i | 553-3663 |
| Lana'i | 565-7114 |
State of Hawai'i Department of Health
Epidemiology Branch / Hawai'i Immunization Program
P.O. Box 3378
Honolulu, Hawai'i 96801
Nondiscrimination in Services
We provide access to our activities without regard to race, color, national origin (including language), age, sex, religion, or disability. Write or call the Hawai'i Immunization Program or our departmental Affirmative Action Officer at P.O. Box 3378, Honolulu, Hawai'i 96801-3378 or at (808) 586-4616 (voice/TTY) within 180 days of a problem.
Linda Lingle, Governor
Chiyome L. Fukino, M.D., Director of Health
30K-DOCD/Immunization Branch 01/03