IMMUNIZATION/STUDENT PHYSICALS/VISION REQUIREMENTS
By Dean, Tammy
October 18, 2010
- IMMUNIZATION REQUIREMENTS
Each student must be protected by immunization against the following diseases, unless otherwise exempted from this requirement (see below for allowed exemptions):
Measles Diptheria
Mumps Tetanus
Rubella Pertussis
Polio Haemophilus Influenzae type b (HIB)
Hepatitis B Varicella
Students enrolling for the first time (Kindergarten or 1st grade, depending on the school district's entering grade), enrolling in 7th grade, and all transfer students from outside the state regardless of the grade they are entering are considered immunized if they have received:
3 doses DTaP, DTP, DT, or Td vaccine with at least 1 dose given no earlier than 4 days before 4 years of age. Beginning July 2010 and thereafter, students enrolling in 7th grade must provide evidence of having 1 booster dose of a tetanus, diptheria, and pertussis (Tdap) vaccine, given on or after 10 years of age.
3 doses of polio vaccine
2 doses of MMR vaccine with the first dose given no earlier than 4 days before the first birthday and the 2 doses separated by at least 28 days
3 doses of pediatric hepatitis B vaccine, or, if the alternated hepatitis B vaccinations schedule is used, 2 doses of a licensed adult hepatitis B vaccine specified for adolescents 11-15 years of age;
1 dose of varicella vaccine given before the 13th birthday, or 2 doses of varicella vaccine with the first dose given on or after the 13th birthday and the second dose given no less than 28 days later. Beginning July 1, 2011 and thereafter, 2 doses of varicella vaccine.
Medical and Religious Exemption; Provisional Enrollment:
ANY STUDENT WHO DOES NOT COMPLY WITH THESE REQUIREMENTS MAY NOT BE PERMITTED TO ENROLL IN SCHOOL, EXCEPT AS PROVIDED IN 173 NAC 3-010.01 THROUGH 3-010.03:
- A statement signed by a physician, physician assistant, or nurse practitioner stating that, in the health care provider's opinion, the specified immunization(s) required would be injurious to the health and well-being of the student or any member of the student's family or household (Medical Waiver - see below)
- A notarized affidavit signed by the student or, if he or she is a minor, by a legally authorized representative of the student, stating that the immunization conflicts with the tenets and practice of a recognized religious denomination of which the student is an adherent or member of that immunization conflicts with the personal and sincerely followed religious beliefs of the student. (Religious Waiver - see below)
A student may be provisionally enrolled in a school in Nebraska if he or she has begun the immunizations against the specified diseases prior to enrollment and continues the necessary immunizations as rapidly as is medically feasible.
EACH STUDENT MUST PRESENT DOCUMENTATION AS OUTLINED ABOVE PRIOR TO ENROLLMENT
- STUDENT PHYSICALS and VISION EXAMINATIONS (173 NAC 3)
School boards must require evidence of a physical examination and a visual evaluation within six months prior to the entrance of a child into the beginner grade (Kindergarten or 1st grade) and the seventh grade or, in the case of a transfer from out of state, to any other grade of the local school. The visual evaluation must consist of testing for amblyopia, strabismus, and internal and external eye health, with testing sufficient to determine visual acuity.
NOTE: As a substitute for the evidence specified in 173 NAC 3-007.01 and 3-007.02, an objection in writing to a physical examination or visual examination of a child signed and dated by a parent or guardian of the child may be submitted to the local school.
