Child Care Programs, Schools and Post-Secondary Institutions

Spotting a Fraudulent Record

The New York State Department of Health wants to help schools recognize red flags on immunization records to stop fraud. Schools are on the frontlines in the defense against vaccine preventable diseases and have the responsibility to reject immunization records they believe to be fraudulent based on their knowledge and assessment of the facts.

NYS School Immunization Requirements

Child Care Programs and Pre-Kindergarten

Schools (K-12)

Post-Secondary Institutions

Health Commerce System (HCS) Access and Immunization Survey Instructions

Health Commerce System (HCS) access is required to complete the yearly School Immunization Surveys in SMART (Survey Management and Response Tool). In addition, schools with an HCS account may request access to NYSIIS (New York State Immunization Information System), to verify student immunization status.

Additional Resources

Contact Information

  • For questions regarding school immunizations within New York State, contact the NYSDOH Division of Vaccine Excellence, School Immunization at, or by phone at 518-474-1944.
  • For questions regarding school immunizations for New York City, contact the NYC Department of Health and Mental Hygiene unit at or by phone at 347-396-2433.