Health Requirements
Tennessee Department of Health Immunization Requirements
School immunization requirements can be found at Tennessee Department of Health rules.
All immunizations for children attending child care, pre-school, and school must be documented on the Official TN Immunization Certificate Sample. This certificate is available in local health departments and at many medical offices in Tennessee.
Children Enrolling into Pre-School
Pre-Kindergarten students must be up to date on the required immunizations for their age.
Hepatitis B (HBV)
Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
Poliomyelitis (IPV or OPV)
Haemophilus influenzae type B (Hib) - age younger than 5 years only
Pneumococcal conjugate vaccine (PCV) - age younger than 5 years only
Measles, Mumps, Rubella - 1 dose of each, normally given together as MMR
Varicella - 1 dose or credible history of disease
Hepatitis A - 1 dose, required by 18 months of age or older
Children Enrolling into Kindergarten
Hepatitis B (HBV)
Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
Poliomyelitis (IPV or OPV) - final dose on or after the 4th birthday
Measles, Mumps, Rubella - 2 doses of each, usually given together as MMR
Varicella - 2 doses or credible history of disease
Hepatitis A - total of 2 doses, spaced at least 6 - 18 months apart
All Children Entering 7th Grade (Including Currently Enrolled Students)
Tetanus-diphtheria-pertussis booster (Tdap) - evidence of one Tdap dose given any time before 7th grade entry is required regardless of Td history
Varicella - 2 doses or credible history of disease
Children Who Are New Enrollees in A TN School In Grades Other Than Kindergarten
Hepatitis B (HBV)
Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
Poliomyelitis (IPV or OPV - final dose on or after the 4th birthday
Measles, Mumps, Rubella - 2 doses of each, normally given together as MMR
Varicella - 2 doses or credible history of disease
New students entering grades other than 7th grade are not required to have Tdap