|
Kindergarten, 1st and 2nd Grade |
|
DTap/DTP/Td |
5 doses |
4 acceptable if 4th dose given after 4th birthday(See footnote on card if <3 injections at enrollment) |
|
Polio |
4 doses |
3 acceptable if 3rd dose given after 4th birthday |
|
Hepatitis B |
3 doses |
|
MMR |
2 doses |
1st dose must be given >12 months of age for child |
|
Varicella |
2 doses (at least 28 days apart) |
- or- History of disease documented on immunization record from doctor’s office or lab confirmation |
|
Grades 3 through 5 |
|
DTap/DTP/Td |
5 doses |
4 acceptable if 4th dose given after 4th birthday(See footnote on card if <3 injections at enrollment) |
|
Polio |
4 doses |
3 acceptable if 3rd dose given after 4th birthday |
|
Hepatitis B |
3 doses |
|
MMR |
2 doses |
1st dose must be given >12 months of age for child |
|
Varicella |
1 dose |
- or- History of disease (provide date) |
|
Grades 6 through 12 |
|
DTap/DTP/Td |
5 doses |
4 acceptable if 4th dose given after 4th birthday(See footnote on card if <3 injections at enrollment)
No Pertussis required if >7 years and <10 years old |
|
Tdap Booster |
1 dose |
Required for 6th, 7th, 8th, 10th, 11th and 12th graders |
|
Polio |
4 doses |
3 acceptable if 3rd dose given after 4th birthday |
|
Hepatitis B |
3 doses |
If 2-shot series given for 11–15 year-olds, must indicate 1cc/dose and given 4–6 months apart |
|
MMR |
2 doses |
1st MMR dose must have been given when child ≥ 12 months |
|
Varicella |
1 dose |
- or- History of disease (provide date)Required for grades 6 through 9; not required for grades 10, 11 and 12 |
|
Note: If parent wants an exemption for personal or religious beliefs, the parent must sign and date the back of the Immunization Card and note which shots they don’t want their child to have.
If there is a medical exception, a doctor must sign and date the back of the Immunization Card. |
|
Enrolled in a Colorado school Prior to July 2000 |
|
DTap/DTP/Td |
4 doses |
|
Tdap |
1 dose |
Required for all 6th, 7th, 8th, 10th, 11th and 12th graders |
|
Polio |
3 doses |
|
Hepatitis B |
3 doses |
If 2-shot series given for 11–15 year-olds, must indicate 1cc/dose and given 4–6 months apart |
|
MMR |
2 doses |
|
Varicella |
1 dose |
- or- History of disease (provide date)Required for all 7th, 8th and 9th graders (not required in grades 10, 11 and 12) |
|
Note: There may be unusual cases where odd exceptions apply because of the footnotes on the bottom of an Immunization Card. If it is unclear whether the student is/isn’t compliant, page your nurse. |
