Health Requirements for School

Health Requirements for School

  • All students must have documentation on file showing they are up to date on immunizations, or they may not be able to attend school.
  • Students new to SFUSD must have current tuberculosis (TB) clearance and immunization records on file showing they are up to date on immunizations.
  • Medical exemptions are the only acceptable reason to not be up to date on immunizations

How to submit your records:

What are the health requirements for new students to enter school?

All students new to SFUSD must have the following to enter school:

  • Tuberculosis (TB) clearance within one year before entering SFUSD
  • Required immunizations (shots or vaccinations). Students must have at least one dose of every required vaccine and no deadline for any missing dose has passed.
  • Physical examination for any TK, kindergartener or new first grader. This documentation should be submitted any time during the kinder year or before first grade. The date of the physical examination should be no earlier than 6 months before the start of the kinder year. A virtual visit with a physician counts as long as the physician is able to complete the health form based on the virtual visit. School Health and Oral Health Forms

What are the health requirements for all students to attend school?

All students in all grade levels must have the following to attend school:

What are the health requirements for students who need medical services at school?

Any student who needs medical services at school must have the following:

In order for medical services to be provided, the school must have current orders for the needed procedures or medication signed by an eligible California healthcare provider. See the links below for templates that should be taken to your child’s provider to complete. The parent/guardian must also sign before submitting to the school.

Immunizations requirements by grade

Child Care / PreK

Immunization requirements differ depending on the age of the child when enrolling for child care.

  • 2-3 months: 1 DTaP, 1 Polio, 1 Hep B, 1 Hib
  • 4-5 months: 2 DTaP, 2 Polio, 2 Hep B, 2 Hib
  • 6-14 months: 3 DTaP, 2 Polio, 2 Hep B, 2 Hib
  • 15-17 months: 3 DTaP, 3 Polio, 2 Hep B, 1 MMR (on or after 1st birthday), 1 Hib (on or after 1st birthday)
  • 18 months-4 years: 4 DTaP, 3 Polio, 3 Hep B, 1 MMR (on or after 1st birthday), 1 Hib (on or after 1st birthday- only required for children less than 4 years, 6 months ), 1 Varicella (chickenpox)

TK-12 students

  • 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)
  • Polio (OPV or 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 (first dose given on or after 1st birthday) 
  • Varicella (chickenpox) — 2 doses

Students entering 7-12 grade

  • Tetanus, Diphtheria, Pertussis (Tdap) —1 dose 
  • Varicella (chickenpox) — 2 doses
  • Please note that the TK-12 immunization requirements apply to 7th graders who previously had a valid personal beliefs exemption (PBE) filed in California before 2016. Pre-existing PBEs expire upon entering 7th grade and, therefore, the student is required to meet the TK-12 requirements.


Need immunizations?

  • Call your student's doctor. If your student doesn't have a doctor, try these community clinics:
    • SF Child Health and Disability Prevention (CHDP)/"Gateway")
      • Eligibility criteria: families with children and youth (ages 0-18yrs) who are uninsured (or underinsured) and low to moderate income
      • Can obtain temporary full-scope, no-cost Medi-Cal benefits at the time of service
      • Call to make an appointment:(628) 217-6730 for all languages using interpreter services.
      • Flyer: English | Spanish Chinese Vietnamese,| Tagalog | Arabic
    • Teen Clinics for Primary Care and Immunizations (for students 12 years old and older)
    • SF Health Network New Patient Intake Line (Public or low cost clinics): Call to make an appointment  (415) 682-1740

Helpful Links:

This page was last updated on May 27, 2022