Immunizations Forms | Notifications
Per the NYSDOH notification on 8/28/20: Children entering or attending school in New York State, including summer school and distance learning, must comply with immunization requirements.
2020-2021 NYSDOH Immunization Requirements for School Attendance Chart (7/20/20)
Sample Letter to Parents/Guardians for 2020-2021 immunizations for students
- Sample Immunization Request Letter to Parents of Students in PreK - 12 (7/2020)
- Chronological Age/Grade Chart (7/2/20)
Sample Letter for Administrators/Principals to Inform Parents/Guardians of Exclusion
Sample Medical Exemption Letters/Forms From the NYSDOH and NYSCSH
- NYSDOH Notification to Providers Regarding Removal of Religious Exemptions and Medical Exemptions (NYSDOH, 7/2019)
- Guidance on Immunization-Related Medical Exemptions for School-Aged Children (NYSDOH, 6/2019)
- Immunization Requirements for School Attendance/Medical Exemption Statement for Children 0-18 years of Age Form. This form must be completed annually (NYSDOH).
- Medical Exemption Review Procedures for Schools Outside New York City and for Non-public Schools in NYC (NYSDOH, 6/2016).
- Sample Medical Exemption Approval Letter with Notification of Exclusion During Communicable Disease OutbreakThis sample letter may be customized to inform parents/guardians that their child has that in the case of an outbreak, their child would be excluded for the length of contagion. Ideally, this information should be communicated when the exemption is granted. (NYSCSH, 9/2019)
Page Updated 3/2/2021