Looking for a U.s. Department Of Homeland Security Forms And Templates? Download it for free!

Exceptions and Conditions to the Rules

Parents whose religious beliefs do not allow immunization must sign a religious exemption form. A medical

exemption form must be signed by the child’s physician or nurse practitioner if there is lab evidence of immunity or

a medical reason why the child cannot receive a particular vaccine(s). A copy of the lab results should be attached

to the medical exemption form and kept on file with the immunization record to prove the child’s immunity.



A child who is missing vaccines required for his age can start child care but must get a dose of each

vaccine due within 15 days of enrollment and bring a copy of the immunization record completed by the

clinic to the child care setting. After 15 days, the child may not attend child care without

documentation that the child has received the required vaccinations or has a valid medical or

religious exemption.



CATCH UP SCHEDULE for children missing immunizations:

DTaP: The 2

dose is due 1 month after the 1

dose; the 3

dose is due 1 month after the 2

dose; the 4

dose is due 6 months after the 3

dose.

Polio: The 2

dose is due 1 month after the 1

dose; the 3

dose is due 1 month after the 2

dose. If

the child is 4+ years of age, the 3

Polio may qualify as the child’s final dose and a 6 month space is

needed between the last two Polio doses.

Hep B: The 2

dose is due 1 month after the 1

dose; the 3

dose is due 2 months after the 2

dose;

however, there must be at least 16 weeks (4 months) between dose 1 and dose 3. If Hep B #3 was

given before 24 weeks of age, a 4

dose is needed.

Hib: If child is less than 1 year, doses are given 2 months apart. If child is at least 15 months old

and less than 5 years, a single dose is needed to catch up.

MMR*: The 1

dose is required at 12 months of age. A 2

dose is required for kindergarten entry.

Varicella*: The 1

dose is required at 12 months of age. Children must have proof of

immunization, or a valid exemption for medical reasons , lab evidence of immunity or religious

beliefs. As most children now enrolling/attending child care, preschool or Head Start were born

9/1/11 or after, parental recall of chickenpox disease is no longer acceptable as proof of

immunity.

Hep A: Maricopa County Only Children 1 through 5 years of age are required to obtain dose

#1 within 15 days of enrollment in child care, preschool or Head Start. Dose #2 is due 6

months after dose #1.

*Important note: MMR and Varicella may be given on the same day. If they are not given on the same

day, they must be separated by at least 28 days.

 Children who are missing required shots must stay on the above “catch up” schedule to attend child

care. A 15-day notice must be given to parents whose children fall behind. If they do not provide

proof of shots after 15 days, the child must be excluded from care until proof is given.

 What proof of immunization is needed? Copies of an Arizona Lifetime Immunization Record, shot

records signed or stamped by the healthcare provider, a n d / o r records from the Arizona State

Immunization Information System (ASIIS) are acceptable forms of records and must be kept on file at

the child care facility.

Arizona Department of Health Services, Immunization Program Office

602-364-3630 or 866-222-2329

Revised July 2017

Arizona State Immunization Requirements: Birth To 5 Years Of Age - Child Care And Preschool Page 2

Related Articles

Related forms

Related Categories