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Health Department

School Immunizations

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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. Please call (615) 340-5667 for more information.

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”)
  • Verification of immunity to varicella
    • 2 doses required (or history of disease)

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 Tennessee Immunization Information System (TennIIS)

*Detailed official guidance can also be found on the Tennessee Department of Health (TDOH) web site:

For additional information regarding immunization visit the National Immunization website.