Immunization FAQs

The following information is to help answer your questions about school immunization requirements. Click the questions below to find out more information:

References

• Where can I access "need-to-know" information pertaining to the school immunization requirements?
  
  

Requirements and Compliance

1. Are immunizations required for all children enrolled in school?
2. What information must be included on the physician's statement to document immunization?
3. What is considered adequate documentation of an immunization history?
4. What is "laboratory evidence of immunity"?
5. Who should interpret lab results for evidence of immunity?
6. Is lab evidence of immunity acceptable for ALL school required immunizations?
7. What is the four-day grace period and when can it be used?
8. What is the minimum age for MMR vaccine to be counted as a valid dose?
9. When are 4 doses of Polio vaccine required?
10. What are the minimum intervals for Hepatitis B vaccine?
11. If there is an extended interval between doses of Hepatitis B, does the student need to start the series over?
12. May a chiropractor give a medical exemption for vaccination?
13. What must a medical exemption contain?
14. What must a religios objection contain?
15. If a student received a dose of vaccine before the recommended minimum interval or age, can I accept a physician note stating there is no need to repeat the dose as a medical exemption?
16. Is there a philosophical objection allowed in Indiana?
17. If a child does not present an immunization record or is not up to date with his/her immunizations, may he/she enroll in school?
18. If a child received one dose of MCV4 vaccine at age 10 or older and another dose at age less than 16, will they still need a booster dose at age 16?
19. If a child received one does of Varicela vaccine and then subsequently has chickenpox, is a second dose of Varicella vaccine needed?
20. Is a doctor's statement required as proof of chickenpox disease?
21. I have a foreign exchange student at my school who received single antigen measels, mumps and rubella vaccinations. How do I know if they meet school entry requirements?
22. I have a child who will be only 10 when he/she enters 6th grade. Should he/she receive the MCV4 and Tdap before 6th grade like the other students, or wait until he/she is 11?
23. Does ISDH deterine if a child is exlcluded from school for incomplete immunizations?
24. What immunization education materials must be provided to the parents of enrolled students?
25. Are schools required to collect the response form included with the Human Papillimavirus (HPV) infection education materials?
    
    

CHIRP and Reporting

1. Who can request access to use CHIRP?
2. How do I request access to a new school in CHIRP?
3. How do I submit my report using CHIRP?
4. What is the deadline for schools to enter their data into CHIRP?
5. How can my school submit student records electronically to CHRIP?
6. Should schools enter vaccine records for doses in CHIRP for the vaccines that are not required for school entry?
7. Which grade levels does ISDH include in the annual report from CHIRP?
8. If a child has an exemption on file, may he/she be counted as complete?
9. Do schools need to report immunization data for all 6th grade immunizations?
10. When does the CHIRP automatic roll-up occur?
11. How can I best track students who are out of compliance?
12. If a student received a meningococcal vaccine noted from an electronic medical record, how do I know if they meet school requirements, and how do I document this in CHIRP?
13. Why do my 3rd grade students show a missing hepatitis A vaccine in the forecast? It's not required for their grade-level.
14. I don't know the CHIRP codes and am unsure of how to enter records into CHIRP.
15. CHIRP vaccine code cheat sheet