Health and Immunization Requirements

To complete your child's registration, you must have the following medical documents:

  • Physical examination: including a hearing and vision screen, on the state form MCH-213 G within one year of original entry date into school (grades K-5 only). Copies of the state physical form can be downloaded from The physical examination should be performed by a health care provider licensed in the United States. Any transfer students (grades K-5) entering an ACPS elementary school must provide one of the following: records establishing that a physical examination was completed less than 12 months prior to enrolling in another school or a report of a physical examination dated within the last 12 months. This documentation does not have to be on the Virginia State form.
  • Tuberculosis screening/PPD: All children entering or re-entering Alexandria City Public Schools (ACPS) must have either an intradermal Mantoux test (PPD) or written documentation of a negative tuberculosis risk assessment done by a licensed health care provider. The PPD or risk assessment must have been done within 12 months of the date of entry and the PPD must have been read by an appropriate health professional 48-72 hours after placement. Additionally, some licensed health care providers are using one of two newly available blood tests called QuantiFERON or a SPOT TB test. These tests are also acceptable when done within one year of enrolling into ACPS. (learn more)
  • Immunization records, including:
    • Diphtheria, Tetanus, and Pertussis (Dtap, DPT, or Tdap)
    • Tdap - mandated for 6th grade entry
    • Haemophilus Influenzae Type b (Hib) Vaccine
    • Hepatitis B
    • Human Papilloma Virus (HPV) - mandated for 6th grade girls
    • Measles, Mumps and Rubella (MMR)
    • Polio (OPV or IPV)
    • Varicella (Chickenpox) Vaccine

Detailed State of Virginia immunization requirements for school entry can be found on the Virginia Department of Health website (PDF).

Evidence of Immunization

Evidence acceptable for proof of required immunizations must include the month, day, and year each dosage was administered on forms developed by, or approved by, the State Department of Health. All students for whom dates cannot be provided (month, day, and year) must be referred to the local health department or their private physicians to update their records before entering school.

Conditional Enrollment

A student may be enrolled for a period of 90 school days contingent upon the student's having received at least one dose of each of the required vaccines and the student's possessing a plan, from a physician or local health department, for completing his or her immunization requirements within the ensuing 90 school days; except that a student who has not yet received a second dose of measles (rubeola) vaccine must receive such second dose pursuant to the State Board of Health minimum immunizations required for school attendance.


  1. When the parent or guardian has an objection on the grounds that the administration of immunizing agents conflicts with his or her religious tenets or practices and provides the principal with a written statement of such objection, unless an emergency or a disease epidemic has been declared by the State Board of Health (the parent must provide the school with a notarized copy of The Commonwealth of Virginia Certificate of Religious Exemption (PDF)).
  2. When the parent or guardian presents a statement from a physician that states that the physical condition of the child is such that the administration of one or more of the required immunizing agents would be detrimental to the health of the child.

Homeless Pupils

If a student is a homeless child or youth as defined in Va. Code §22.1-3 and

  1. does not have documentary proof of necessary immunizations or has incomplete immunizations
  2. is not exempted from immunization

The school division will immediately admit such student and will immediately refer the student to the local school division homeless liaison (Arnecia Moody, Office of Student Services, , 703-619-8156, cell 703-929-5126), who will assist in obtaining the documentary proof of, or completion of, immunization.

Immunization and PPD tests are available in Alexandria through:

If you wish to inquire about religious exemptions to the medical requirements or for more information, contact the school nurse at your assigned school.