Schools

School Immunization Requirements

California School Immunization law requires that all children be up-to-date on their immunizations before entry to schools or child care centers.  In addition, the California School Immunization laws require schools and child care centers to enforce immunizations requirements, to maintain immunization records for all students enrolled, and to submit reports.  Below are easily accessible tools regarding school immunization. For more detailed information regarding school immunization, please visit CDPH Shots for School website.

Protect Their Health Web Banner (JPG) (English) (Spanish)

California Immunization Handbook

Follow these links to see detailed immunization requirements for Pre-Kindergarten and K–12th Grade(including transitional kindergarten) in California.

• Pre-Kindergarten (Child Care/ Preschool) (PDF)
• TK-12 (PDF)

Immunization Reporting

All California schools and pre-kindergarten (childcare/preschool) facilities are required to assess and annually report the immunization status of their enrollees.

Reporting Site

Annual school reports are submitted at CAIR Hub. Reports for all grades (Pre-K, TK/K, and 7th grade) are submitted at the same website and require a registration process.

Reports are due December 13, 2025.

• Register or Sign In

Parents’ Guide to Immunizations – Pre-Kindergarten (Child Care)

• Parents’ Guide to Immunizations Required for Pre-Kindergarten (Child Care)

School Immunization FAQs

• Pre-K (Child Care/Preschool) Frequently Asked Questions
• TK/Kindergarten – 8th Grade Frequently Asked Questions

Staff and Volunteer Immunization Requirements for Child Care and Family Child Care Homes

• Staff and Volunteer Requirements at Child Care Centers and Family Child Care Homes

Personal Belief Exemptions

Personal belief exemptions will no longer be permitted beginning January 1, 2016. Personal belief exemptions submitted before January 1, 2016 are valid until the child enters kindergarten (including transitional kindergarten) or 7th grade. Valid medical exemptions from a licensed physician are not affected and will continue to be accepted.

Medical Exemptions for Immunizations for School and Child Care

• CDPH Exemption FAQs
• CDPH CAIR ME

Additional Resources and Printable Material for Schools and Parents/Guardians

Implementation Tools

• Implementation Tools (ca.gov)

Child and Adolescent Immunization Schedule – Center for Disease Control and Prevention

• Birth-18 Years Immunization Schedule | CDC

Parents Guide to Immunizations- TK/K-12

• Parents’ Guide to Immunizations Required for School Entry

Parents Guide to Immunizations – Pre-Kindergarten (Child Care)