Nebraska Department of Health and Human Services
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Nebraska Law about School Immunization

All 50 states and the District of Columbia have immunization requirements for children entering school. In Nebraska, children can’t attend classes in public or private school until the school has written proof of their immunization status.

To attend school, children in Nebraska are required to be immunized against the following diseases:  

  • Diphtheria, tetanus, and pertussis
  • Polio
  • Measles, mumps, and rubella
  • Hepatitis B
  • Varicella (chicken pox)

Each school in Nebraska is required to keep the immunization history of the students enrolled on file. Parents or guardians must present one of the following documents to the school to verify immunization status:

  • An immunization record showing that the child is protected by age-appropriate immunizations.
  • A statement signed by a physician that the required immunization would be injurious to the student or members of the student's family or household.
  • An affidavit signed by a legally authorized representative stating that the immunization conflicts with the tenets and practices of a recognized religious denomination of which the student is a member.

Below are forms in PDF PDF and MS Word MS Word format

PDF Summary of the School Immunization Rules and Regulations 2009-2010
PDF Summary of the School Immunization Rules and Regulations 2009-2010 (Spanish)

PDF Refusal of Immunization for Medical Reasons
MS Word Refusal of Immunization for Medical Reasons (MS Word)

PDF Refusal of Immunization of Student for Religious Reasons
MS Word Refusal of Immunization of Student for Religious Reasons (MS Word)

PDF Documentation of Varicella (Chicken Pox) Disease
MS Word Documentation of Varicella (Chicken Pox) Disease (MS Word)

A student can be provisionally enrolled in school if he or she has started the immunizations series and continues the necessary immunizations as rapidly as is medically possible. If the student doesn’t continue with the immunization schedule, he or she will be sent home.

The school district is required by law to report the immunization status of each school to the Nebraska Department of Health and Human Services yearly. The current level of school immunization is 97.06% in Nebraska.

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