School Entry Requirements

SCHOOL HEALTH REQUIREMENTS, effective JULY 1, 2020

What does Hawai‘i State Law require for childcare facility and school attendance?

Hawai‘i State Law requires all students to meet physical examination, immunization, and tuberculosis clearance requirements before they may attend a childcare facility, preschool, or public/private school in the State.

Are exemptions allowed?

Children may be exempt from immunization requirements for medical or religious reasons, if the appropriate documentation is presented to the childcare facility or school. Religious exemption forms may be completed at the childcare facility or school that your child will attend. Medical exemptions must be obtained from your child’s healthcare provider. No other exemptions are allowed by the State.

To view these requirements in greater detail, please visit Hawaii Public Schools webpage. (updated July 2024)

What are the health requirements?

A completed Health Record Form (Form 14)

The Form 14 documents that a physical examination was performed within one year before childcare facility or school entrance, and that all immunization and TB Clearance requirements have been met.

You can get a copy of the “Student’s Health Record” (Form 14) from Kalaheo High School Health Room, from your child’s healthcare provider, or you may download a copy of the Form 14 by clicking the link "Form 14" below. 

1. A completed TB Clearance Form

   1. For information regarding TB clearance requirements for school attendance, talk to your child’s healthcare provider or contact the Department of Health Tuberculosis Control Branch: call: (808) 832 5731 web: health.hawaii.gov/tb

2. A Physical Examination

   1. Must be completed within one year before:

      1. First date of attendance at a
         childcare facility, preschool, or
         school in Hawai‘i; and
         
         

         1. Must be performed by a U.S.
            licensed physician, APRN, PA, or naturopathic physicians

3. Immunizations

   1. Immunizations are required for childcare facility and school attendance.

   2. All immunizations must meet minimum age and interval requirements between vaccine doses.

   3. Required immunizations depend on the age of the child (childcare or preschool) or grade of the student.

      1. Childcare or Preschool
         • Diphtheria-Tetanus-Pertussis (DTaP)
         • Haemophilus influenzae type b (Hib)
         • Hepatitis A (Hep A)
         • Hepatitis B (Hep B)
         • Measles-Mumps-Rubella (MMR)
         • Pneumococcal Conjugate Vaccine (PCV)
         • Polio (IPV)
         • Varicella (chickenpox)
          

      2. 7th Grade
         • HPV
         • MCV
         • Tdap
          

      3. All students entering school in Hawai‘i for the first time in 7th grade or higher must show evidence of receiving these immunizations prior to school attendance.
         Kindergarten – 12th Grade
         • DTaP
         • Hep A
         • Hep B
         • Human Papillomavirus (HPV)*
         • Meningococcal Conjugate (MCV)*
         • MMR
         • IPV
         • Tetanus-diphtheria-pertussis (Tdap)*
         • Varicella

What if my child is transferring from another state or territory of the U.S.?

You will need to show proof that the health requirements have been met prior to childcare facility or school entry. The childcare facility or school will accept out-of-state records that meet the State of Hawai‘i requirements for physical examination, immunizations, and tuberculosis clearance.

IMPORTANT NOTICE TO PARENTS

Students who have not completed the above requirements by the first day of school will not be allowed to attend school until these requirements are met unless documentation of a scheduled medical appointment is provided.

If NO written evidence, student cannot enter school on the first day.