New Information For Health Care Providers
Licensed physicians (M.D. or D.O.) may grant a medical exemption (ME) to immunizations required for school and child care by providing a letter with required documentation to a child's parent or guardian. Students who are immune to a disease by history of disease or titer and therefore do not need to be vaccinated should have a medical exemption.
Parents - Not Sure Which Immunizations Are Needed?
Find out which vaccines the Centers for Disease Control and Prevention (CDC) recommends:
There are also specific recommendations for travelers, college students, health care workers, or other groups of people.
Where to Get Vaccinated
The best place to get immunizations is at your doctor's office or regular clinic. We offer vaccinations at the Marin HHS Immunization Clinic, or view this list of Where to Get Vaccinated in Marin County or use the Vaccine Finder.
Watch our video to learn how vaccines protect ourselves, our families, and our community.
Vaccines have literally transformed the landscape of medicine over the course of the 20th century. Before vaccines, parents in the United States could expect that every year:
Visit the Children's Hospital of Philadelphia (CHOP) for more information on childhood vaccines.
- Polio would paralyze 10,000 children.
- Rubella (German measles) would cause birth defects and mental retardation in as many as 20,000 newborns.
- Measles would infect about 4 million children, killing about 500.
- Diphtheria would be one of the most common causes of death in school-aged children.
- A bacterium called Haemophilus influenzae type b (Hib) would cause meningitis in 15,000 children, leaving many with permanent brain damage.
- Pertussis (whooping cough) would kill thousands of infants.
- Vaccines have reduced and, in some cases, eliminated many diseases that killed or severely disabled people just a few generations before. For most Americans today, vaccines are a routine part of healthcare.
View stories of people who have been impacted by vaccine-preventable diseases at shotbyshot.org.
Child Care Facility and School Immunization Requirements
Under the California School Immunization Law (California Health and Safety Code, Sections 120325-120375), children are required to receive certain immunizations in order to attend public and private elementary and secondary schools, child care centers, family day care homes, nursery schools, day nurseries and developmental centers. This law also requires schools, child care centers, and family child care homes to enforce immunization requirements, maintain immunization records of all children enrolled, and submit reports to the local health department.
Child Care or Preschool Requirements
- For Staff: Guide to Immunizations Required for Child Care or Preschool (Spanish)
- For Parents: Parent's Guide to Immunizations Required for Child Care
- For Staff: Guide to Immunizations Required for School
- For Parents: Parent's Guide to Immunizations Required for School (Spanish)
7th Grade Specific Requirements
- For Staff and/or Parents: Immunization Requirements for 7th Grade
Need more "Blue Cards" (California School Immunization Records)? Please call 415-473-3078 or email firstname.lastname@example.org. More tools for schools and child cares may be found below.
Required Immunizations for Child Care Staff & Volunteers
A new law, SB 792, requires certain immunizations for child care employees and volunteers. This law goes into effect September 1, 2016. More information will be posted here and on ShotsForSchool.org when available. Click here to read the text of the law.
Tools for Health Care Providers
- CDC/ACIP Recommended Immunization Schedules (Children & Adults)
- CDC/ACIP Recommended Catch-Up Immunization Schedule (Child & Adolescent)
Required Immunizations for School and Child Care
- Students age 7-17 years are required to have 4 doses of diptheria, tetanus, and pertussis-containing vaccine (DTP/DTaP/DT/Td/Tdap) vaccine to enter school. (3 doses are OK if the last dose was given on or after the 2nd birthday.) At least one dose must be on or after the 7th birthday for all 7th-12th graders. Please see the CDC/ACIP Recommended Catch-Up Schedule and Guide to catch-up vaccination with Td and Tdap for adolescents aged 11--18 years* per MMWR, March 24, 2006, Vol 55, #RR-03.
Licensed physicians may grant a medical exemption (ME) by providing a letter with required documentation to a child's parent or guardian. Students who are immune to a disease by history of disease or titer and therefore do not need to be vaccinated should have a medical exemption.
- What's required for a medical exemption to a vaccination?
- Medical Exemptions to Required Immunizations Sample Form
Immunization Resources for Providers
- Vaccines for Children (VFC) Program
- California Immunization Registry (CAIR) - We're moving together to CAIR2 in 2016!
- California Department of Public Health, Immunization Branch
- Immunization Action Coalition
Please report incidences and outbreaks of communicable diseases to the Marin County Communicable Disease Prevention and Control Unit.
Tools for Schools and Child Care Facilities
- Notice of Immunizations Needed (Spanish)
- Sample Letter from Schools to Parents about SB277 (Spanish)
- Sample Letter to Parents about Medical Exemption Requirements (Eng/Sp)
- Sample Letter to Parents-Students Entering 7th Grade Missing Tdap
- Sample Letter to Parents-Students Entering 7th Grade with Existing PBE
Immunization Law and Exemptions
- Conditional Admission: FAQ
- Conditional Admission Immunization Schedule (from Title 17)
- Conditional Entry Tool for TK/K-12 (SF Dept of Public Health) (PDF)
Annual Fall Immunization Assessment Report For Child Care, TK/K, and 7th Grade
Tools for Translating Foreign Vaccine Records
- Binational Immunization Resource Tool (US/Mexico)
- Foreign Language Terms (CDC Pink Book, Appendix B)
- Quick Chart of Vaccine-Preventable Disease Terms in Multiple Languages (Eastern European and Western European Languages)
- International Immunization Schedules (World Health Organization)