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If your child carries an Epi-pen, at all, during the school year, there is a Diocesan Form that needs to be completed by your doctor. These may be picked up in the school office.

Nicholas A. Toumpas

Commissioner

Jose’ Thier Montero

Director

STATE OF NEW HAMPSHIRE

DEPARTMENT OF HEALTH AND HUMAN SERVICES

29 HAZEN DRIVE, CONCORD, NH 03301-6527

603-271-4482 1-800-852-3345 Ext. 4482

Fax: 603-271-3850 TDD Access: 1-800-735-2964 www.dhhs.nh.gov

New Hampshire

School Immunization Requirements 2011/2012

1. Children must have proof of all required immunizations, or valid exemptions, in order to attend the first day of school. Documentation of immunity by confirming laboratory test results is acceptable.

2. A child may be enrolled under conditional enrollment when the parent or guardian provides: (1) Documentation of at least one dose for each required vaccine; and (2) The appointment date for the next due dose of required vaccine. (He-P 300.13) http://www.gencourt.state.nh.us/rules/state_agencies/he-p300.html

3. Look at the Minimum Age and Interval Table on page 2 for recommended minimum age and spacing information. All vaccine immunizations must meet minimum intervals and age requirements for that vaccine; a 4-day grace period is acceptable.

Medical and religious exemption information is available at: http://www.dhhs.nh.gov/dphs/immunization/exemptions.htm

Varicella

K-2^nd

2 Doses1

3^rd Grade

2 Doses²

4^th – 5^th Grade

1 Dose²

6^th – 8^th Grade

2 Doses²

9^th – 12^thGrade

1 Dose²

DTaP

DT/DTP

Td/Tdap

6 years and under: 4 or 5 doses, with the last dose given on or after the 4^th birthday.

7 years and older: 3 or 4 doses, with the last dose given on or after the 4^th birthday.

11 years and older: a one time dose of Tdap when more than 5 years have passed since the last tetanus toxoid containing vaccine;3 then boost with Td every 10 years. If a child turns 11 on or after the first day of school, they are required to have Tdap prior to first day of the next school year.

Polio

Grades K-12: 3 doses, with the last dose given on or after the 4^th birthday.4

Or 4 doses regardless of age at administration.4,5

MMR

Grades K-12: 2 doses required, at least one on or after the first birthday

Hepatitis B

Grades K-12: 3 Doses at acceptable intervals

January 2011 Page 1 of 2

New Hampshire School Immunization Requirements 2011/2012

Minimum Age & Interval for Valid Vaccine Doses
Vaccine	Dose #	Minimum Age	Minimum Interval Between Doses	Notes
Hepatitis B HepB	HepB – Dose 1	Birth	4 weeks between Dose 1 & 2	Minimum age for Dose 3 is >24 weeks.
	HepB – Dose 2	4 weeks	8 weeks between Dose 2 & 3
	HepB – Dose 3	24 weeks	16 weeks between Dose 1 & 3
Diphtheria, Tetanus, and Pertussis DTAP/DT	DTaP – Dose 1	6 weeks	4 weeks between Dose 1 & 2	The fifth dose is not necessary if the fourth dose was administered at age 4 years or older.
	DTaP – Dose 2	10 weeks	4 weeks between Dose 2 & 3
	DTaP – Dose 3	14 weeks	6 months between Dose 3 & 4
	DTaP – Dose 4	1 year	6 months between Dose 4 & 5
	DTaP – Dose 5	4 years	------------------
Polio IPV	IPV – Dose 1	6 weeks	4 weeks between Dose 1 & 2	If Dose 3 is given >4^th birthday, only 3 doses are required (if an all OPV or all IPV schedule) Advisory Committee on Immunization Practices (ACIP) recommends that the final dose in the IPV series should be administered at 4 years of age or older, regardless of the number of previous doses, and that the minimum interval between dose 3 and dose 4 be extended from 4 weeks to 6 months. This is not required for the 2011/2012 school year but will be required for incoming Kindergarteners for the 2012/2013 school year.
	IPV – Dose 2	10 weeks	4 weeks between Dose 2 & 3
	IPV – Dose 3	14 weeks	4 weeks to 6 months between Dose 3 & 4

Measles, Mumps, and Rubella MMR	MMR – Dose 1	12 months	4 weeks between Dose 1 & 2	If MMR, VAR, and nasal influenza vaccine are not given on the same day, they must be separated by at least 28 days.
Measles, Mumps, and Rubella MMR	MMR – Dose 2	13 months	-----------------
Varicella (chickenpox) VAR	VAR – Dose 1	12 months	3 months between Dose 1 & 2	If MMR, VAR, and nasal influenza vaccine are not given on the same day, they must be separated by at least 28 days. If Dose 2 was given >28 days after Dose 1, it is valid.
Varicella (chickenpox) VAR	VAR – Dose 2	15 months	------------------
Tetanus, Diphtheria, and Pertussis	Tdap – Dose 1	10 years		If a child turns 11 during the school year they are required to have Tdap by the first day of the next school year.

Health

New Hampshire

School Immunization Requirements 2011/2012

Minimum Age & Interval for Valid Vaccine Doses