Health and Immunization Requirements
To complete your child's enrollment, you must have the following medical documents:
- Physical examination report:
- State law (Ref. Code of Virginia § 22.1-270) requires that your child receives a comprehensive physical examination and is immunized in the United States before entering public kindergarten or elementary school. Physical examination must be dated within one year prior to date of entry into kindergarten.
- Based on the above, students currently participating in an ACPS pre-kindergarten program must provide proof of immunizations and a NEW physical examination prior to entering kindergarten, even if these documents were provided prior to entrance into pre-kindergarten.
- For the purposes of clarification, “elementary school” above refers to grades one through five.
- Immunization records (Documenting month, day and year each was administered):
- Negative Tuberculosis Risk Assessment, PPD Tuberculin Skin Test, IGRA blood test or negative Chest X-Ray, completed in the United States: Administered within 12 months prior to child’s first day of school. Required of all children entering ACPS.
- Hepatitis B: A complete series of three doses of Hepatitis B vaccine is required for all children.
- Diphtheria, Tetanus, Pertussis (Dtap, DTP or Tdap): A minimum of four doses, with one dose administered on or after the fourth birthday.
- Polio (OPV or IPV): A minimum of four doses, with one dose administered on or after the fourth birthday.
- Measles, Mumps, & Rubella (MMR): All children must have at least two doses of Measles, two doses of Mumps and one dose of Rubella prior to kindergarten. The first dose must be administered at 12 months of age or older.
- Varicella (Chicken Pox): All children must have two doses of varicella or medical documentation of having the chicken pox disease.
- Haemophilus Influenzae Type b (Hib) Vaccine: Required for pre-K students
- Pneumocaccal (PCV) Vaccine: Required for pre-K students
- Tdap: mandated for 6th grade entry
- Human Papilloma Virus (HPV): mandated for 6th-grade girls
See detailed Virginia immunization requirements for school entry.
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 healthcare provider to update their records before entering school.
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.
- 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 Virginia Certificate of Religious Exemption ).
- 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.
If a student is a homeless child or youth as defined in Va. Code §22.1-3 and
- does not have documentary proof of necessary immunizations or has incomplete immunizations
- is not exempted from immunization
ACPS will immediately admit the student and will immediately refer the student to the ACPS homeless liaison, 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.
Children of Active Duty Military
In accordance with the Interstate Compact on Educational Opportunity for Military Children (Va. Code § 22.1-360), the children of military families shall have 30 days from the date of enrollment to obtain any required immunization(s). For a series of immunizations, initial vaccinations must be obtained within 30 days.