Immunization

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Madison School District 321

STUDENTS 3525

Immunization Requirements

The District is required to provide educational services to all school age children who reside
within its boundaries. Attendance at school may be denied to any child who does not provide a
statement to the school regarding the child’s immunity to certain childhood diseases. Immunity
requirements are met if the child has received or is in the process of receiving immunization as
specified by the board of health and welfare or has previously contracted the disease. The parent
or legal guardian of the child must comply with the immunization requirements at the time of
admission and before attendance for the child.

Summary of Immunization Requirements


Immunization Requirement Child born after Child born on or before
September 1, 1999 September 1, 1999
Measles, Mumps, and Rubella (MMR) 2 doses 1 dose
Diphtheria, Tetanus, Pertussis 5 doses 4 doses
Polio 3 doses 3 doses
Hepatitis B 3 doses 3 doses*
* Unless the child was born on or before November 22, 1991.

Immunization Certification
The immunization certification statement must be signed by a physician or physician’s
representative stating the type, number, and dates of the immunizations received.

Intended Immunization Schedule


The schedule of intended immunizations statement must be provided by the parent or legal
guardian of a child who is in the process of receiving or has been scheduled to receive the
required immunizations. A form is provided by the department of Health and Welfare or similar
one may be used provided it includes the following information:

1. Name and age of child;


2. School and grade child is enrolling in and attending;
3. Type, number, and dates of immunizations to be administered;
4. Signature of the parent or legal guardian; and
5. Signature of a physician or physician’s representative.

Children admitted to school and failing to continue the schedule of intended immunizations may
be excluded from school until documentation of administration of the required immunizations is
provided by the child’s parent or legal guardian.

3525-1 (ISBA 10/08 UPDATE)


Exemptions
1. Any child who submits a certificate signed by a physician licensed by the State Board
of Medicine stating the physical condition of the child is such that all or any of the
required immunization would endanger the life or health of the child is exempt from the
immunization requirements.

2. Any minor child whose parent or guardian submits a signed statement to school
officials stating their objections on religious or other grounds is exempt from the
immunization requirements.

3. A child who has laboratory proof of immunity to any of the childhood diseases listed
above will not be required to be immunized for that disease.

4. A child who has had measles or mumps diagnosed by a licensed physician upon
personal examination will not be required to be immunized for the disease provided they
submit a signed statement from the diagnosing physician.

Reporting
The school district shall submit a report of each school’s immunization status to the State
Department of Education on or before the first day of November of each year.

Legal Reference:
I.C. § 39-4801 Immunization Required
I.C. § 39-4802 Exemptions
IDAPA 16.02.15 Immunization Requirements for Idaho School Children

Policy History
U

Adopted on: May 15, 2014


Revised on:

3525-2 (ISBA 10/08 UPDATE)

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