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Health Department

Immunization Program

Immunization Services

The Immunization Program provides routine child and adult immunizations.  This program also works closely with pediatricians throughout Nashville to ensure that children age birth to 24 months are receiving the recommended series of immunizations.

Childhood Immunizations

Eligible children from birth through 18 years of age may receive free, federally-funded vaccine through the Vaccines for Children Program (VFC).  However, there is an administration fee charged for vaccines but will slide according to income.
Children from birth through 18 years of age who meet at least one of the following criteria are eligible to receive VFC vaccine:

  • TennCare
  • Uninsured
  • American Indian or Alaska Native 
  • Underinsured

If you have private insurance, private stock vaccine is available.  Money is collected at time of visit by cash or check only.  We do not bill private insurance at this time.  However, we will provide a patient services ledger if you wish to seek reimbursement.

Private Pay Vaccine Charges

Adult Immunizations

Free federal vaccine is available for uninsured adults age 19-64 for certain recommended vaccines. However, an administration fee is charged for vaccines but will slide according to income.

We can bill Medicaid/Medicare for adult vaccines.  We do not bill any other private insurance at this time.  However, if you have private insurance and you want to seek reimbursement then you may want to check with your company first and see if they will accept our Patient Service Ledger as proof of vaccination for reimbursement purposes.  Money is collected at time of visit by cash or check only. 

Private Pay Vaccine Charges

Immunizations are available at the following public health centers:

Lentz Public Health Center
311 23rd Avenue North
(615) 340-5607
8:00 a.m. - 4:30 p.m. Monday - Friday

East Nashville Public Health Center
1015 East Trinity Lane
(615) 862-7916
7:30 a.m. - 4:30 p.m. Monday - Friday

Woodbine Public Health Center
224 Oriel Street
(615) 862-7940
Monday-Friday 7:00am-4:30pm and late hours on Thursday until 7:00pm for all services.

Patients are required to sign-in by 3:30 p.m. for walk-in services at all three Public Health Centers. Sign in time is 4:30 p.m. on Thursdays at the Woodbine Health Center.

Immunization Requirements for Metro Public Schools

All students entering Metro Public School system must have a TENNESSEE DEPARTMENT OF HEALTH IMMUNIZATION CERTIFICATE. These may be obtained from the Metro Health Department or local pediatricians.

The following immunizations will be required as of July 2010 (Tennessee Department of Health Rule Chapter 1200-14-1-.29):

Children entering Kindergarten:

  • Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
    • 4 doses required*
    • One dose must be given after the 4th birthday*
  • Hepatitis B (HBV)
    • 3 doses required
  • Poliomyelitis (IPV or OPV)
    • 4 doses required
    • Final dose must be given on or after the 4th birthday*
  • Measles, Mumps, Rubella
    • 2 doses required
    • Usually given together as MMR
    • First dose must be given after 1st birthday, with at least 30 days between the first and second doses*
  • Varicella
    • 2 doses required (or history of disease)
    • Previously only one dose was required
    • Given after 1st birthday*
  • Hepatitis A
    • 2 doses will be required starting on July 1, 2011

Children entering 7th grade :

  • Tetanus-diphtheria-pertussis booster (“Tdap”)
  • Two (2) doses of Varicella vaccine or a history of Chicken Pox disease or verification of immunity to varicella

Children who are new enrollees in a TN school in grades other than K or 7th:

  • Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
    • 4 doses required*
  • Hepatitis B (HBV)
    • Previously only for Kindergarten and 7th grade entry
    • 3 doses required
  • Poliomyelitis (IPV or OPV)
    • Final dose must be given on or after the 4th birthday
  • Measles, Mumps, Rubella
    • 2 doses of each
    • Usually given together as MMR
  • Varicella (2 doses or history of disease): previously only one dose was required

Children with medical or religious exemption to requirements:

  • Medical: Healthcare provider must indicate which specific vaccines are medically exempted (because of risk of harm) on the new form. Other vaccines remain required.
  • Religious: Requires only a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. If documentation of a health examination is required, it must be noted by the health care provider on the immunization certificate.

All children initially entering Metro schools must have a health examination.
Source: Tennessee Department of Health

*Detailed official guidance, including the immunization schedule and the new Immunization Certificate, will be made available no later than April 1 online at http://health.state.tn.us/twis/ or at the TDOH website: http://health.state.tn.us/CEDS/required.htm.

For additional information regarding immunization, visit the National Immunization website.