School Immunizations
As you prepare for the upcoming school year, please remember to keep your child’s immunization records on-hand. California requires students TK/Kindergarten through 12th grade to have the following immunizations:
- Diphtheria, Tetanus, and Pertussis (DTaP, DTP, Tdap, or Td) — 5 doses
(4 doses OK if one was given on or after 4th birthday. 3 doses OK if one was given on or after 7th birthday.)
For 7th-12th graders, at least 1 dose of pertussis-containing vaccine is required on or after 7th birthday. -
Polio (IPV) — 4 doses
(3 doses OK if one was given on or after 4th birthday) - Hepatitis B — 3 doses
(not required for 7th grade entry) - Measles, Mumps, and Rubella (MMR) — 2 doses
(Both given on or after 1st birthday) - Varicella (Chickenpox) — 2 doses
California schools are required to check immunization records for all new student admissions at TK/Kindergarten through 12th grade and all students advancing to 7th grade before entry. Parents must show their child’s Immunization Record as proof of immunization to the school prior to admittance. Parents/Guardians can scan or email immunization records to immunization@natomasunified.org
Updated Medical Exemption Requirements:
Please be advised that all medical exemptions must be submitted through the California Immunization Registry – Medical Exemption (CAIR-ME) system. Per California law, paper letters from physicians can no longer be accepted.
Medical Exemptions must include the specific nature of the child’s physical condition or medical circumstance for which a California licensed physician does not recommend immunization. The doctor must be a Medical Doctor (M.D.) or a Doctor of Osteopathic Medicine (D.O.). No other medical professionals may sign the exemption.
Please visit the CDPH- CAIR-ME website to access instructions on requesting a medical exemption.



