State Link – http://www.immunize-utah.org 

Current Requirements –  (differs from years prior)

Kindergarten:

5 doses of DTaP/DTP/DT/Tdap (exceptions may apply)

4 doses of Polio (exceptions may apply)

2 doses MMR

3 doses of Hep B

2 doses of Varicella (chickenpox)

2 doses of Hep A

7th Grade:

5 doses of DTaP/DTP/DT/Tdap (exceptions may apply)

1 dose of Tdap (given after age 7)

4 doses of Polio (exceptions may apply)

2 doses MMR

3 doses of Hep B

2 doses of Varicella (chickenpox)

2 doses of Hep A

1 dose of Meningococcal

✦ Grades K-12 Require 2 doses of the MMR Vaccine.

School and Early Childhood Program Use Only: (Info received from the back of the pink Utah School Immunization Record card from the Utah Department of Health)

1.    ALL REQUIREMENTS MET: Requirements are met by either up-to-date immunizations on the first day of school or by obtaining a religious, personal or permanent medical exemption. …

Exemption Procedures: The Utah Immunization Rule for Students  (R396-100) allows for three types of exemptions, Personal, Religious, and Medical exemption. Personal and religious exemption forms may be obtained from local health departments. A local health department representative must witness and sign the Personal or Religious Exemption Forms giving the WHITE and YELLOW copies to the parent/guardian. The parent/guardian will present the WHITE copy to the school or early childhood program official. The WHITE copy must be attached to this record. The YELLOW copy is for the parent/guardian. The PINK copy will remain with the local health Department.

Medical Exemption Form must be completed and signed by the students licenced physician (Utah Statutory Code – Section 53A-11-302). The Medical Exemption Form may be obtained from the student’s physician. IT must indicate whether the exemption is for one or all immunizations. The WHITE and YELLOW copies will be given to the parent/guardian. THe parent/guardian will present the WHITE copy to the school or early childhood program official. The WHITE copy must be attached to this record. The YELLOW copy is for the parent/guardian. The PINK copy will remain in the child’s medical record.

2. CONDITIONAL ADMISSION:  If all requirements have not been met, but the student has received at least one dose of each required vaccine, enter “Conditional Admission” date and explain the process of completing the required immunizations to the parent/guardian. If a student has a temporary medical exemption they are eligible for CONDITIONAL ADMISSION. Enter the exemption expire Date and enter “Conditional Admission” date. Upon expiration of temporary status, immunizations will be required.

2.   NOT-IN-COMPLIANCE: On the 1st day of school, if all requirements have not been met and the student is more than one month past due for any immunization, the student is Not-in-Compliance and must be excluded from school.  Enter the “Not-in-Compliance” date. If the student subsequently completes all required immunizations, status can be changed to ALL REQUIREMENTS MET. Enter the date and check the box for “Adequately Immunized” and cross through the “Not-in-Compliance” date.

Disease Verification: Parent/guardian must sign on reverse side verifying history of chickenpox disease.

CARSON SMITH SPECIAL NEEDS SCHOLARSHIP

• School districts and charter schools are required by Utah law, 53A1a-704(10), to inform parents of students with IEPs (Individual Education Plan) enrolled in public schools, of the availability of a scholarship to attend a private school through the Carson Smith Scholarship Program.

• Visit the Carson Smith Scholarship website – Carson-Smith-Scholarship