California schools are required to check immunization records for all new student admissions at TK/Kindergarten through 12th grade and all students advancing to 7th grade before entry. Parents must show their child's Immunization Record as proof of immunization. Please contact your school's Nurse or Health Aide if you have any questions or visit the California Department of Health website for complete information.

    Students admitted at ages 4-6 years need the following immunizations (these immunization requirements also apply to students entering transitional kindergarten):

    Students admitted at ages 7-17 years need the following immunizations:

    • Diphtheria,Tetanus, and Pertussis (DTaP, DTP, DT, Tdap, or Td)—4 doses
      (3 doses OK if last dose was given on or after 2nd birthday)

    • Polio (OPV or IPV)—4 doses
      (3 doses OK if one was given on or after 2nd birthday)

    • MeaslesMumps, and Rubella (MMR)—1 dose
      (2 doses required at 7th grade)

    • Varicella (chickenpox)
      (Admission at ages 7-12 years need 1 dose; ages 13-17 years need 2 doses)

    • TetanusDiphtheria,and Pertussis (Tdap) —1 dose at  7th grade or out-of-state transfer admission at 8th–12thgrades
      (1 dose on or after the 7th birthday)


    What’s required for a medical exemption?

    A parent or guardian must submit a written statement from a licensed physician (M.D. or D.O.) which states:

    • That the physical condition or medical circumstances of the child are such that the required immunization(s) is not indicated.
    • Which vaccines are being exempted.
    • Whether the medical exemption is permanent or temporary.
    • The expiration date, if the exemption is temporary.

    Has the State of California issued a standardized form for medical exemptions?


    May other practitioners, besides licensed physicians (M.D.s and D.O.s), provide a medical exemption to a required immunization?

    No. Only a licensed Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) may provide a medical exemption.

    In contrast, the other categories of licensed or credentialed practitioners in California previously authorized through 2015 to sign requests for personal beliefs exemptions (e.g., Nurse Practitioner, Physician Assistant, Naturopathic Doctor, or School Nurse) may not provide medical exemptions.

    Are licensed physicians required to assist in requests for medical exemptions?

    A licensed physician may provide a medical exemption but is not required to do so. Parents or guardians seeking medical exemptions should check with physicians in advance to clarify their policies on medical exemptions.


    Deborah Taylor, RN
    District Nurse
    Ph: (831) 624-1821, ext. 2014 
    Fax: (831) 626-4313

    Melissa Anderson, LVN
    Nurse/River School
    Ph: (831) 624-4609, ext. 2293
    Fax: (831) 624-6633

    Ludmilla Nelson, LVN
    Nurse/Tularcitos School
    Ph: (831) 620-8195
    Fax: (831) 659-1049

    Kristen Quilty
    Health Aide/Carmel High School
    Ph: (831) 624-1821
    Fax: (831) 626-4313

    Courtney Day
    Health Aide/Carmel Middle School
    Ph: (831) 624-2785 ext. 2697
    Fax: (831) 624-0839

    Carolyn Sinclair
    Health Aide/Captain Cooper School
    Ph: (831) 667-2452
    Fax: (831) 62760