Clinic - Immunizations

CASTLE HILLS ELEMENTARY

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State Law and NEISD policy require medically validated up-to-date records of immunizations to be on file for all students. Immunization records must be as complete as medically feasible. To claim exclusions for medical reasons or reasons of conscience, including a religious belief, please contact the school nurse or NEISD Health Services at 804-7147.

See additional information below.

Immunization Requirements

3 Years of Age

4 Doses DTP, DTaP (Diphtheria, Tetanus, Pertussis)

3 Doses IPV (Polio)

1 Dose MMR (Measles, Mumps, Rubella) on or after 1^st birthday

1 Dose Hib (Haemophilus influenzae type b) on or after 15 months OR primary series with booster on or after 1^st birthday

3 Doses Hepatitis B

1 Dose Hepatitis A (1^st Dose on or after 2^nd birthday)

1 Dose Varicella (chickenpox) on or after 1^st birthday OR a statement of date of chickenpox illness

(See Chart) PCV7 ( Pneumococcal Conjugate Vaccine)

4 Years of Age

5 Doses DTP, DTaP (Diphtheria, Tetanus, Pertussis) 5^th Dose on or

after 4^th birthday OR 4 Doses with 4^th Dose on or after 4^th

birthday

4 Doses IPV (Polio) 4^th Dose on or after 4^th birthday OR

3 Doses with 3^rd Dose on or after 4^th birthday

1 Dose MMR (Measles, Mumps, Rubella) on or after 1^st birthday

1 Dose Hib (Haemophilus influenzae type b) on or after 15 months

OR primary series with booster on or after 1^st birthday

3 Doses Hepatitis B

2 Doses Hepatitis A (1^st Dose on or after 2^nd birthday)

1 Dose Varicella (chickenpox) on or after 1^st birthday OR

a statement of date of chickenpox illness

Kindergarten and First Grade

5 Doses DTP, DTaP (Diphtheria, Tetanus, Pertussis) 5^th Dose on or

after 4^th birthday OR 4 Doses with 4^th Dose on or after 4^th

birthday

Students who are 7 years of age or older:

3 Doses Tetanus-Diphtheria containing vaccine, one of which

must have been received on or after the 4^th birthday.

Pertussis vaccine is not required.

4 Doses IPV (Polio) 4^th Dose on or after 4^th birthday OR

3 Doses with 3^rd Dose on or after 4^th birthday

2 Doses Measles (1^st Dose on or after 1^st birthday)

1 Dose Mumps on or after 1^st birthday

1 Dose Rubella on or after 1^st birthday

3 Doses Hepatitis B

2 Doses Hepatitis A (1^st Dose on or after 2^nd birthday)

1 Dose Varicella (chickenpox) on or after 1^st birthday OR

a statement of date of chickenpox illness

Second Grade and Third Grade

(If less than 7 years of age, see First Grade)

3 Doses DTP, DTaP, DT, Td (Diphtheria, Tetanus; Pertussis is not

required) 1 Dose must be on or after the 4^th birthday

4 Doses IPV (Polio) 4^th Dose on or after 4^th birthday OR

3 Doses with 3^rd Dose on or after 4^th birthday

2 Doses Measles (1^st Dose on or after 1^st birthday)

1 Dose Mumps on or after 1^st birthday

1 Dose Rubella on or after 1^st birthday

3 Doses Hepatitis B

2 Doses Hepatitis A (1^st Dose on or after 2^nd birthday)

1 Dose Varicella (chickenpox) on or after 1^st birthday OR

a statement of date of chickenpox illness

Fourth Grade and Fifth Grade

3 Doses DTP, DTaP, DT, Td (Diphtheria, Tetanus; Pertussis is not

required) 1 Dose must be on or after the 4^th birthday

4 Doses IPV (Polio) 4^th Dose on or after 4^th birthday OR

3 Doses with 3^rd Dose on or after 4^th birthday

2 Doses Measles (1^st Dose on or after 1^st birthday)

1 Dose Mumps on or after 1^st birthday

1 Dose Rubella on or after 1^st birthday

3 Doses Hepatitis B

1 Dose Varicella (chickenpox) on or after 1^st birthday OR

a statement of date of chickenpox illness

Sixth Grade

3 Doses DTP, DTaP, DT, Td (Diphtheria, Tetanus; Pertussis is not

required) 1 Dose must be on or after the 4^th birthday

4 Doses IPV (Polio) 4^th Dose on or after 4^th birthday OR

3 Doses with 3^rd Dose on or after 4^th birthday

2 Doses Measles (1^st Dose on or after 1^st birthday)

1 Dose Mumps on or after 1^st birthday

1 Dose Rubella on or after 1^st birthday

3 Doses Hepatitis B

Seventh Grade – Eleventh Grade

3 Doses DTP, DTaP, DT, Td (Diphtheria, Tetanus; Pertussis is not

required) 1 Dose must be on or after the 4^th birthday

1 Dose Td (Tetanus) required every 10 years after

last dose of DPT/DTaP/DT/Td

4 Doses IPV (Polio) 4^th Dose on or after 4^th birthday

OR 3 Doses with 3^rd Dose on or after 4^th birthday

Not required for students 18 years and older

2 Doses Measles (1^st Dose on or after 1^st birthday)

1 Dose Mumps on or after 1^st birthday

1 Dose Rubella on or after 1^st birthday

3 Doses Hepatitis B

1 Dose Varicella (chickenpox) on or after 1^st birthday OR

a statement of date of chickenpox illness OR

2 doses are required if first dose of vaccine given at

13 years of age or older

Twelfth Grade

3 Doses DTP, DTaP, DT, Td (Diphtheria, Tetanus; Pertussis is not

required) 1 Dose must be on or after the 4^th birthday

1 Dose TD (Tetanus) required every 10 years after

last dose of DPT/DTaP/DT/Td

4 Doses IPV (Polio) 4^th Dose on or after 4^th birthday

OR 3 Doses with 3^rd Dose on or after 4^th birthday

Not required for students 18 years and older

2 Doses Measles (1^st Dose on or after 1^st birthday)

1 Dose Mumps on or after 1^st birthday

1 Dose Rubella on or after 1^st birthday

ADDITIONAL INFORMATION

	Receipt of the dose up to (and including) 4 days before the birthday will satisfy the school entry immunization requirements for ALL vaccines.
	Grades 1 - 12 for DTP, DTaP, DT and Polio: The calendar month prior to or of the 4^th birthday is valid.
	Polio: No dose is required on or after age 4 if any combination of 4 doses of both OPV and IPV were used. However, if the series is comprised of all IPV or all OPV, then a dose is required on or after age 4.
	Serologic confirmations of immunity to measles, rubella, mumps, hepatitis A, hepatitis B or varicella are acceptable. Evidence of measles, rubella, mumps, hepatitis A, hepatitis B or varicella illnesses must consist of a laboratory report that indicates either confirmation of immunity or infection.

Exemptions

Medical reasons - Exclusion from compliance includes medical reasons (a statement from an M.D. or D.O., duly registered and licensed to practice medicine in the United States, is required), stating that in the physician's opinion that the vaccine required is medically contraindicated or poses a significant risk to the health and well-being of the child or to any member of the child's household. Unless it is written in the statement that a life-long condition exists, the exemption statement is valid for only one year from the date signed by the physician.

Reasons of Conscience - Conscientious Exemptions, including religious beliefs, must be obtained from the Department of State Health Services and submitted to the school nurse for immunization exemption upon enrollment or at the time exemption is requested.

More Info

Provisional Enrollment

	Provisional Enrollment: A student may be provisionally enrolled if he/she has begun the required vaccine series and is receiving subsequent immunizations as rapidly as medically feasible.
	If a student is transferring from another Texas school, he/she may be enrolled for 30 days while awaiting the transfer of the immunization record.
	Children of active duty military families who are moving to Texas from out-of-state and are awaiting the transfer of immunization records may be provisionally enrolled for 30 days.
	A student who is homeless, as defined by the McKinney Act, shall be admitted temporarily for 30 days if acceptable evidence of vaccination is not available.

For more information from the CDC about immunizations and the diseases they combat, click here.

For the Texas Department of State Health Services Immunization information for the public, click here.

Find a San Antonio Metropolitan Health District Immunization Clinic near you, click here.

Webmaster: lhurt@neisd.net Page last updated 11/05/2007