Immunization School Survey Instruction Booklet
It is required by Public Health Law Section 2164 to complete and submit this School Immunization Survey.
Survey must be submitted by October 31.
Table of Contents
Instructions, by Grade Level, for Completing Survey Form:
- Pre-K/Daycare Less than 1 Year of Age Completion Instructions (PDF, 170KB, 1pg.)
- Pre-K/Daycare 1 Year of Age or Older Completion Instructions (PDF, 170KB, 1pg.)
- Kindergarten Completion Instructions (PDF, 90KB, 1pg.)
- Grade 1 Completion Instructions (PDF, 90KB, 1pg.)
- Grade 2 Completion Instructions (PDF, 90KB, 1pg.)
- Grade 3 Completion Instructions (PDF, 90KB, 1pg.)
- Grade 4 Completion Instructions (PDF, 64KB, 1pg.)
- Grade 5 Completion Instructions (PDF, 64KB, 1pg.)
- Grade 6 Completion Instructions (PDF, 90KB, 1pg.)
- Grade 7 Completion Instructions (PDF, 90KB, 1pg.)
- Grade 8 Completion Instructions (PDF, 90KB, 1pg.)
- Grade 9 Completion Instructions (PDF, 90KB, 1pg.)
- Grade 10 Completion Instructions (PDF, 90KB, 1pg.)
- Grades 11 Completion Instructions (PDF, 90KB, 1pg.)
- Grades 12 Completion Instructions (PDF, 90KB, 1pg.)
- Vaccines That May Be Recorded on Immunization Records (PDF, 15KB, 1pg.)
- Immunization Schedules For Children and Adolescents Who Start Late (PDF, 94KB, 2pg.)
- Pneumococcal Vaccine Schedule (PDF, 101KB, 1pg.)
- Questions & Answers (PDF, 59KB, 4pg.)
- Hepatitis B, Varicella, Polio, Measles, Mumps & Rubella Vaccines Immunization Requirements (PDF, 78KB, 1pg.)
- Public Health Law Section 2164 (PDF, 149KB, 1pg.)
- Minimum Intervals Policy (PDF, 131KB, 1pg.)
- Dear Superintendent Letter: Public Health Law Section 2164(7)(a)
- Dear Superintendent Letter: Retention of Student Immunization Records
- Dear Superintendent Letter: Clarification of Immunization Requirements for School Entry and Attendance
