Immunization Information for School Personnel and Child Care Providers

Rhode Island requires immunizations for all students entering public or private school or childcare settings including college and university students. 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.

What immunizations students need

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) or a statement signed by your child's medical provider stating that the child has a history of chickenpox disease;
  • One dose of meningococcal conjugate (meningitis) vaccine.

Vaccinate Before You Graduate

Vaccinate Before You Graduate is an adolescent immunization "catch-up" program designed to ensure all Rhode Island students have a chance to be fully immunized before high school graduation. The program makes all vaccinations recommended by the Centers for Disease Control available to students at no out-of-pocket cost. The program is administered by the Wellness Company.

What School Nurses Should do