JLCB-R JLCB-RREGULATION
IMMUNIZATIONS OF STUDENTS
Immunizations Required for
School Attendance
Immunization against each of the following diseases is required for attendance of a child in any school unless exempted from immunization:
A. Diphtheria;
B. Tetanus;
C. Hepatitis B;
D. Pertussis;
E. Poliomyelitis;
F. Measles (rubeola);
G. Mumps;
H. Rubella (German measles);
I. Haemophilus influenzae type b (Hib), for a child two (2) months through fifty-nine (59) months of age; and
J. Varicella;
K. Meningococcal; and
L. Hepatitis A, for a child one (1) through five (5) years of age in a day care program in Maricopa County.
Immunizations Not Required for
School Attendance
A. Human papillomavirus.
Compliance and School Attendance
A student is in compliance with the requirements if the student has met the criteria of the appropriate immunization schedule as recommended by the Department of Health Services or is actively in the process of meeting such criteria as evidenced by having received one (1) dose of each of the required immunizations and has established a schedule for completion of the required immunizations.
A student shall not be allowed to attend school without submitting documentary proof to the school administrator unless the student is exempted from immunization. Upon enrollment, a student shall not be allowed to attend school unless they meet the requirements for immunization or exemption from immunization. Homeless students shall be referred to the liaison for homeless students and shall not be required to comply with the immunization requirements until the fifth (5th) calendar day after enrollment.
Guidance for Administrators:
In Compliance
The admitting official shall deem the student to be in compliance with the requirements of this regulation if:
A. The student's immunization record complies with the documentary proof required, and the student has received or is in the process of receiving all required age-specific vaccine doses; or
B. An exemption from immunization is submitted.
When the student's immunization record is not available at the time of enrollment or the documentation requirements are not met, the school shall provide the parent or guardian with the following:
A. A written notification of the lack of compliance with the immunization requirements;
B. An Immunization Screening and Referral Form for School K-12th Grade or other written notice that specifies when the required doses shall be completed, notes the availability of exemptions to immunization, and refers the student to a physician or local health department for review of the student's immunization history and provision of immunizations as needed; and
C. A written notification that the student is not allowed to attend school until an acceptable immunization record that meets the standards of documentary proof is presented to the school.
When immunization records are presented that do not comply with the standards for documentary proof, the school shall:
A. Notify the parent or guardian of the lack of compliance with the immunization requirements; and
B. Refer parent or guardian to their healthcare provider or local/county health department.
If the admitting official is unable to verify the accuracy of the student's immunization record, the school shall provide to the parent or guardian:
A. A written notification that the school could not verify compliance with Arizona immunization requirements on the basis of the documents provided and a referral to a physician or local health department for further review of the student's immunization history and provision of immunizations as needed; and
B. Notification that the student is suspended until an immunization record that meets the standards of documentary proof is presented to the school.
Each school shall maintain a current list of students without evidence of immunization or immunity. The list shall include the names of all students with incomplete immunization histories or exemptions for personal or medical reasons where evidence of immunity was provided.
Outbreaks and School Attendance
Students who lack documentary proof of the required immunizations, regardless of exemption status, may not attend school during outbreak periods of communicable immunization-preventable diseases as determined by the Department of Health Services or local health department.
Standards for Documentary
Proof of Immunity
Immunization records or statements of immunity shall be signed by a physician or authorized representative of a health agency.
Exemptions to Immunizations
Any student with laboratory evidence of immunity shall not be subject to immunization against that disease as a condition for attending school, provided that such evidence is submitted to the school.
Documentary proof is not required for a student to be admitted to school if one (1) of the following occurs:
A. The parent or guardian of the student submits a signed statement to the school administrator stating that the parent or guardian has received information about immunizations provided by the Department of Health Services, understands the risks and benefits of immunizations and the potential risks of nonimmunization, and that, due to personal beliefs, the parent or guardian does not consent to the immunization of the student.
B. The school administrator receives written certification, signed by the parent or guardian and by a physician, that states that one (1) or more of the required immunizations may be detrimental to the student's health and indicates the specific nature and probable duration of the medical condition or circumstance that precludes immunization.
An exemption pursuant to the preceding subparagraph is valid only during the duration of the circumstance or condition that precludes immunization.
If a medical exemption is granted, it shall be defined by the grantor as either permanent or temporary.
A. A permanent medical exemption may be provided for one (1) or more vaccines.
B. A temporary medical exemption shall specify the date of its termination. A student with a temporary medical exemption shall be allowed to attend school on the condition that the required immunizations are obtained at the termination of the exemption. The responsible person shall be notified of the date by which the student shall complete all required immunizations.
Any exemption granted shall be recorded on the school immunization record in the student's permanent file.
Reporting Communicable Diseases
A school administrator shall submit by telephone a report to the local health department any case, suspected case, or outbreak of a communicable disease as follows:
A. Within twenty-four (24) hours after detecting a case or suspected case of:
1. Cryptosporidiosis
2. Enterohemorrhagic Escherichia coli
3. Haemophilus influenzae: invasive disease
4. Hepatitis A
5. Measles
6. Meningococcal invasive disease
7. Mumps
8. Pertussis (whooping cough)
9. Rubella (German measles)
10. Salmonellosis
11. Shigellosis
B. Within twenty-four (24) hours after detecting an outbreak of:
1. Conjunctivitis: acute
2. Diarrhea, nausea, or vomiting
3. Scabies
4. Streptococcal Group A infection
C. Within five (5) working days after detecting a case or a suspected case of:
1. Campylobacteriosis
2. Varicella (chicken pox)
The report shall include:
A. The name and address of the school
B. The number of individuals having the disease, infestation, or symptoms
C. The date and time the disease or infestation was detected or the symptoms began
D. The number of rooms, grades, or classes affected and the name of each
E. Information about each affected individual to include:
1. Name,
2. Date of birth or age,
3. Residential address and telephone number,
4. Whether the individual is a staff member, student, child in care, or a resident,
F. The number of individuals attending or residing in the school, and
G. The name, address, and telephone number of the person making the report.
Superintendent’s Annual Report
By November 15 of each year, the Superintendent shall submit a report on the immunization status of students (childcare and K-12) to the state or local health department on a form provided by the Department.
An immunization record shall be maintained for each student in the school. Each immunization record shall include the following information:
A. Name of the student;
B. Date of birth;
C. The date of the student's admission to the school;
D. The date (day, month, and year) each required vaccine dose was received;
E. The type of immunizing agents administered to the student;
F. The established schedule for completion of immunizations if the student is admitted to or allowed to continue to attend a school.
G. Laboratory evidence of immunity if this evidence is presented as part of a pupil’s documentary proof;
H. If an exemption from immunization is submitted to the school administrator, the date the exemption is submitted and the reason for the exemption.
Records on Request
A school shall transfer an immunization record with the mandatory permanent student record and provide at no charge, on request, a copy of the immunization record to the parent or guardian of the student.