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NC Department of Health and Human Services
Women's and Children's Health Home
N.C. Public Health Home
North Carolina Immunization Branch

Schools and Child Care Facilities


All children in North Carolina must be vaccinated against certain diseases.  Immunization records are checked when a child enters school. Find out what vaccines children must have before entering school, access reporting forms and view, print or order resources schools may use to communicate with parents.

Immunization Compliance Reporting

The immunization requirements, specified in 10A NCAC 41A .0401, have been temporarily suspended under the authority of Governor Cooper and the State Health Director in response to Hurricane Florence. The link Temporary Suspension of Immunization Requirements serves as notice of a temporary suspension of requirements to provide documentation of immunization related to entry into childcares, schools, colleges and universities. The time period from the start of the temporary suspension on September 21 until November 1, 2018, will not count towards the 30 calendar days following the child’s first date of attendance to meet requirements for submitting required documents.

Schools should not count the time period from September 21, 2018, until November 1, 2018, towards the 30-calendar day grace period from the first day the child attended school. The grace period will resume on November 2, 2018, and will not restart a new 30 calendar days. For example, on September 21, 2018, the child was on day 15 of the 30-calendar day grace period, on November 2, 2018, the grace period will resume starting with day 15 of the grace period for that child. Please keep in mind a child’s first day of attendance at school may differ and from the day school started for the 2018-19 school year. If you have additional questions please contact us at

Reports must be completed on-line by school name and ID number at: Immunization Compliance Reporting

Annual Health Assessment and Immunization Compliance Reporting

All North Carolina public and public charter schools are required annually to report on the status of Health Assessments for those students who are enrolling for the first time in a North Carolina public or public charter school (§ 130A-441(c}), and the Immunization status of all students in Kindergarten and in Seventh Grade (G.S. 130A-1SS(c)). Students are required to be compliant with regulations within 30 calendar days of school admission. Reporting is mandated within 60 calendar days after commencement of the new school year. As a result, compliance reports are due no later than November 1, 2018, but may be completed at any time prior to that date and are now open.

A combined compliance report is available this year, by school name and ID number, and must be completed on-line at: Annual Health Assessment and Immunization Compliance Reporting

Child Care Facilities

Child care facilities check immunization records, too. Find out what vaccines children need before attending a child care facility, access reporting forms and view and print resources.

For Questions Related to Reports:

  • Name: Shannon Draper
  • Phone: 919-707-5555
  • Email

N.C. Immunization Law

All children in North Carolina must be immunized. Find out what state law requires.

N.C. Exemptions

Some exemptions to state immunization law are allowed. Learn about exemptions here.




Updated: November 30, 2018