Immunization Information for School Personnel and Child Care Providers

In Rhode Island, all students entering public or private preschools, elementary schools, middle schools, high schools, colleges, or universities must have required immunizations. (School and child care regulations | college and university regulations) The school-entry requirements are based on national recommendations from the Advisory Committee on Immunization Practices, the American Academy of Pediatrics, and on input from Rhode Island’s medical community.

Immunization Reports

The Rhode Island Department of Health and the Rhode Island Department of Education produce reports for schools and school districts throughout the state on the immunization rates of students. The reports also include asthma rates and information on the blood lead levels of students.

Immunization Requirements for Students

Children entering pre-kindergarten:

  • Three doses of Hepatitis B vaccine
  • Four doses of DTaP (diphtheria, tetanus, pertussis) vaccine
  • Three doses of polio vaccine
  • One dose of MMR (measles, mumps, rubella) vaccine
  • Four doses of Pneumococcal Conjugate (children 15 months through 5 years of age who have received 4 doses of Prevnar should receive one dose of Prevnar 13 to elicit immune response to the six additional strains.)
  • Four doses of Hib or completed series
  • One dose of Varicella (chickenpox) vaccine or a statement signed by a doctor stating that the child has a history of chickenpox.

Children entering kindergarten:

  • Three doses of Hepatitis B vaccine
  • Five doses of DTaP (diphtheria, tetanus, pertussis) vaccine
  • Four doses of polio vaccine
  • Two doses of MMR (measles, mumps, rubella) vaccine
  • Two doses of varicella (chickenpox) vaccine or a statement signed by your child’s doctor stating that your child has a history of chickenpox disease.

Children entering seventh grade:

  • One dose of Tdap (tetanus, diphtheria, pertussis) vaccine diphtheria-tetanus containing vaccine.
  • Four doses of Polio vaccine
  • Two doses of MMR vaccine (Measles, Mumps, Rubella)
  • Three doses of Hepatitis B vaccine.
  • Two doses of Varicella (chickenpox) vaccine age) or a statement signed by your child's medical provider ┬ástating that the child has a history of chickenpox disease.
  • One dose of Meningococcal conjugate (Meningitis) vaccine.

Reminders for Parents

Reporting of Vaccine Preventable Diseases

School medical staff are required to report cases of vaccine preventable diseases to the Department of Health's Center for Epidemiology and Infectious Diseases a 401-222-2577.

School Immunization Exemptions

Rhode Island regulation allows for exemption from immunization requirements for documented temporary, medical, or religious reasons. Exemption forms must be ordered by school medical staff.