Immunizations
Immunization Requirements fall under NYSDOH Public Health Laws.
For questions, please email the NYSDOH Immunization School Assessment and Compliance Unit: osas@health.ny.gov.
Division of Vaccine Excellence: (518) 473-4437
Who to Contact for Student Immunization Questions (NYSCSH/NYSED/NYSDOH 7/2025)
This chart was created to assist the field and lists common immunization topics and which of the agencies to contact.
NYSED Resources
Immunization Guidelines for Schools (NYSED 6/2024)
The guidelines provide directions to schools on how to ensure students meet the immunization requirements and also address how to handle certain situations, including Homeless Students, Students in Foster Care, Non-graded classes, and Refugee students. This document provides schools with directions for students not meeting the immunization requirements, along with documentation and record-keeping requirements.
NYSED FAQs - Vaccination Requirements Applicable to All Students (NYSED 10/2023)
Public Health Law §2164 applies to children attending all schools, including any public, private, or parochial child-care center, day nursery, daycare agency, nursery school, kindergarten, elementary, intermediate, or secondary school.
NYSED Pupil Transportation & Immunizations
This webpage reviews immunization requirements that apply to pupil transportation.
Summer School Immunization Requirements Chart (PDF Version) (NYSCSH 6/2025)
Summer School Immunization Requirements Chart (Microsoft Word Version) (NYSCSH 6/2025)
Summer school is the start of the new school year and not an extension of the school year ending in June. Utilize this chart to help assess immunization requirements for different summer programs.
Who to Contact for Student Immunization Questions (NYSCSH/NYSED/NYSDOH 7/2025)
This chart was created to assist the field and lists common immunization topics and which of the agencies to contact.
NYSDOH Immunization Chart and Resources
Immunization Requirements Chart for School Entrance/Attendance for the 2025-26 school year
Chart available in Spanish, Arabic, Bengali, Burmese, Chinese, French, Haitian Creole, Hindi, Italian, Japanese, Korean, Nepali, Polish, Russian, Urdu, and Yiddish on NYSDOH Immunization website.
School Immunization Requirements Handbook (NYSDOH 5/2025)
- Located in the Health Commerce System. Account and password are required to access.
School Immunization Requirements 2025-2026 Webinar (MP4)
Provides an overview of the 2025-2026 school immunization requirements.
- Overview of the 2025-2026 School Immunization Requirements
Provides a pdf of the above webinar.
School Vaccination Fraud Awareness
Website created for communication about pediatric vaccine fraud with schools and parents. This resource can be utilized to direct people with questions about whether they can accept records/medical exemptions from various providers.
Meningococcal Vaccine Q & A for Healthcare Providers (NYSDOH 8/2022)
Dear Superintendent/Principal/School Nurse Regarding Public Health Law 2164(7)(a)
Center for Disease Control (CDC) Resources to Implement Immunization Requirements
Child and Adolescent Immunization Schedule
DTaP Catch-Up Schedule 4 Months - 6 Years
Tdap Catch-Up Schedule 7 - 9 Years
Tdap Catch-Up Schedule 10 - 18 Years
Medical Exemption Resources
School Guide for Requests for Medical Exemptions to Vaccines (NYSCSH 8/21/25)
The NYSCSH created this resource to assist schools with information on the requirements and process of medical exemption to immunization requirements for school attendance. Sample medical exemption approval and denial letters are located in Samples|Forms - Immunization Forms | Notifications.
NYSDOH Child Care Programs, Schools, and Post-Secondary Institutions
Contains multiple resources to assist schools, including a section on Medical Exemptions and NYS School Immunization Requirements.
- Medical Exemption Review Procedures for Schools Outside New York City (NYSDOH 9/2025)
- Guidance on Immunization-Related Medical Exemptions for School-Aged Children (NYSDOH 9/2025)
- Immunization Requirements for School Attendance/Medical Exemption Statement for Children 0-18 years of Age (Outside NYC) (NYSDOH 6/2016)
- Medical Request for Immunization Exemption (NYC only) (NYSDOH 8/2025)
- NYSDOH Notification to Providers Regarding Medical Exemptions (NYSDOH 7/2019)
Vaccine Recommendations and Guidelines of the ACIP- Contraindications and Precautions
ACIP Vaccine Recommendations and Guidelines- Vaccine-Specific Recommendations
How Does a Parent/Guardian File a 310 Appeal?
Education Law 310 provides that persons considering themselves aggrieved by an action taken at a school district meeting or by school authorities may appeal to the Commissioner of Education for a review of such action. Includes instructions and sample forms for filing an appeal.
Other Resources
Chronological Age/Grade Chart (NYSCSH 5/25)
Time and Date Calculator for Determining Age and Interval Validity
Contact Information
For questions regarding school immunizations for New York State, contact the NYSDOH Immunization School Assessment and Compliance Unit at osas@health.ny.gov.
For questions regarding school immunizations for New York City, contact the NYC Department of Health and Mental Hygiene unit at school_immunizations@health.nyc.gov or by phone at 347-396-2433.
See Also:
- Guidelines & Memos by Content Area - Immunizations
- Laws & Commissioner's Regulations by Content Area - Immunizations
- Samples | Forms - under Immunization Forms I Notifications
- Homeless | Displaced | Refugee Students I McKinney-Vento Resource Page - Information on immunization requirements for students experiencing unstable housing.
- Lead Exposure | Testing
- NYSDOH Immunization Data Reporting - Data Reporting Information
- NYSIIS I NYCIR Resource Page - NYS and NYC Immunization Registries
- Vaccines Resource Page
Page Updated 9/12/25