(b) The requirements for entry into school are:

1. (1)

   1. (A) Kindergarten:

(i) At least four (4) doses of diphtheria/tetanus/acellular pertussis (DTaP), diphtheria/tetanus/pertussis (DTP), or diphtheria/tetanus (DT-pediatric) vaccine;

1. (ii) At least three (3) doses of polio vaccine;

   1. (iii) Two (2) doses of MMR (measles, mumps, and rubella) vaccine;

      1. (iv) Three (3) doses of hepatitis B vaccine;
      2. (v) One (1) dose of hepatitis A; and
      3. (vi) Two (2) doses of varicella (chickenpox) vaccine.

   2. (B)

      1. (i) A history of disease from a medical professional such as a medical doctor, advanced practice nurse, doctor of osteopathy, or physician assistant may be accepted in lieu of receiving varicella vaccine.
      2. (ii) No self or parental history of varicella disease will be accepted (see Table II).

   3. (C) Exception. If a student has previously received two (2) doses of measles, one (1) dose of mumps, and one (1) dose of rubella before January 1, 2010:

      1. (i) The doses will be accepted as compliant to immunization requirements; and
      2. (ii) Two (2) MMR vaccines are not required; and

2. (2)

   1. (A) First through twelfth grade:

      1. (i) At least three (3) or four (4) doses of:

(b) (b) Diphtheria/tetanus/pertussis (DTP);

1. (c) (c) Diphtheria/tetanus (DT-pediatric);

   1. (d) (d) Tetanus/diphtheria (Td-adult); or

(e) (e) Tetanus/diphtheria/acellular pertussis (Tdap);

1. (ii) One (1) dose of tetanus/diphtheria/acellular pertussis (Tdap) for ages eleven (11) years as of September 1 each year and older or three (3) doses for unvaccinated persons seven (7) years of age or older, including persons who cannot document prior vaccination;

   1. (iii) At least three (3) doses of polio vaccine;

      1. (iv) Two (2) doses of MMR (measles, mumps, and rubella) vaccine;
      2. (v) Two (2) or three (3) doses of hepatitis B vaccine;
      3. (vi) One (1) dose of hepatitis A for first grade;
      4. (vii) Two (2) doses of varicella vaccine; and
      5. (viii)

(b) (b) However, if the first dose of meningococcal vaccine is administered at age sixteen (16) years or older, no second dose is required.

1. (c) (c) If not vaccinated prior to age sixteen (16) years, one (1) dose is required.

   1. (B)

      1. (i) A history of disease from a medical professional such as a medical doctor, advanced practice nurse, doctor of osteopathy, or physician assistant may be accepted in lieu of receiving varicella vaccine.
      2. (ii)

(b) (b) Exception. If a student has previously received two (2) doses of measles, one (1) dose of mumps, and one (1) dose of rubella before January 1, 2010:

1. (iii) The doses will be accepted as compliant to immunization requirements; and

   1. (iv) Two (2) MMR vaccines are not required.

   2. (E) Seventh grade. In addition to the vaccine requirements listed under first through twelfth grade, one (1) dose of meningococcal vaccine is required (see Table II).

      1. (c)
2. (1) Every child must have received all of the vaccines, be in process of receiving needed doses listed in Table II, show proof that they have a letter from the Department of Health approving serology as proof of immunity, or applied for an exemption for those vaccines he or she has not received in order to continue attendance in a public or private school.

3. (2) If the child does not meet the immunization requirements for entering a public or private school, refer the child to a medical authority (private doctor or health department) for immunization or consultation.

   1. (d)

4. (1) A facility may temporarily admit a child provided that the child becomes appropriately immunized, is in process of receiving the needed doses of vaccine, or shows proof that he or she has applied for an exemption for those vaccines he or she has not received within:

   1. (A) Thirty (30) calendar days after the child’s original admission; or
   2. (B) By October 1 for Tdap and meningococcal vaccine at age eleven (11) and sixteen (16) years, respectively.

5. (2) "In process" means the student:

   1. (A) Has received at least one (1) dose of the required immunizations; and
   2. (B) Is waiting the minimum time interval to receive the additional doses.
6. (3) When a student is admitted who is in the process of completing the required minimum immunizations, the facility shall require each student to complete the required doses on schedule.
7. (4) A written statement from a public health nurse or private physician stating that the student is in process and containing a date when he or she must return for the next immunization shall be in the student's file.
8. (5) If a student does not produce documentation of additional immunizations per the schedule or show proof that he or she has applied for an exemption from the immunization requirements, he or she must be excluded from the facility until documentation is provided.
9. (6) The immunization series does not need to be restarted, as each dose of vaccine counts toward the minimum requirements.

(e)

1. (1) School officials should evaluate the immunization status of all children in their facilities.
2. (2) Table II is used to determine if the child meets the immunization requirements to enter school.