Skip to main content

Immunization Requirements

staying on track with immunizations | INMUNIZACIONES

When schools reopen - even in hybrid models - students MUST be immunized to return to classrooms. Learn More Flyer
Cuando las escuelas vuelvan a abrir - incluso en los modelos híbridos - los estudiantes DEBEN ser vacunados para regresar a los salones. Más información


Guide to Immunizations English | español | 中文

1. Changes to California school immunization requirements will become effective July 1st, 2019.

Starting in the 2019-2020 school year, the changes include, but are not limited to:

  • Requiring 2 (rather than 1) doses of chickenpox (varicella) vaccine
  • Requiring 2 MMR doses and 3 Hepatitis B vaccine doses at admission or transfer more uniformly throughout K-12 (age restrictions are removed)
  • Medical exemptions for new admissions must be signed only by a California-licensed MD/DO and the specific reason for the exemption must be listed. (see note below)
  • Each temporary medical exemption may be issued for no more than 12 months.California Dept. of Public Health (CDPH) has posted resources to support implementation of the new regulations at
    Note: Schools and local health departments do not currently have the authority to determine valid condition(s) for medical exemptions as long as the exemption is clear and signed by a California physician. If, however, there are conditions listed that are not clear (e.g. long list of conditions versus one specific condition), the school can request an exemption with more clarity. If there are questions about medical exemptions that are not answered in the posted FAQs, please never hesitate to contact our office at 510-267-3230 or email us at

2. Recently introduced, SB 276 (Pan), if passed, would require medical exemption requests to be submitted by physicians for review by CDPH and would then either be labeled as accepted or denied. More information.


New requirements for 2016

Under a new law known as SB 277, beginning in January 1, 2016, exemptions based on personal beliefs, including religious beliefs, will no longer be an option for the vaccines that are currently required for entry into child care or school in California.  Most families will not be affected by the new law because their children have received all required vaccinations.  Personal beliefs exemption on file for a child already attending child care or school will remain valid until the child reaches the next immunization check point at kindergarten (including transitional kindergarten) or 7th grade.

Why immunizations are important for all students?

Vaccination is one of the best ways parents can protect infants, children and teens from potentially harmful diseases.  A prolonged illness from a vaccine preventable disease can take a financial toll because of lost time at work, medical bills or long term disability care. Vaccine-preventable diseases can be very serious, may require hospitalizations, or even be deadly- especially in infants and young children. Vaccines have reduced and, in some cases, eliminated many diseases that killed or severely disabled people just a few generations before.

If you have any questions please contact your school nurse.

Related Links: 

Shots for school