Physicals and Immunizations

Importance of Getting an Annual Physical | Star Medical Associates
SCHOOL HEALTH ENTRANCE REQUIREMENTS

All students entering Isle of Wight County Schools for the first time must have health examinations and immunizations as described below:

Students entering Pre-K must present prior to school entry a record of a comprehensive physical examination as well as a record of immunizations as required by their age level at the time of school entry.  Any student turning four (4) after the first day of school must complete all required shots within fifteen (15) calendar days after their fourth birthday to remain in the program.

Students entering Kindergarten through grade five (5) MUST PRESENT PRIOR TO SCHOOL ENTRY a record of a comprehensive physical examination.  The examination must have been done within the last twelve (12) months prior to the date the student first enters public kindergarten or elementary school.  The school must have a copy of the physical examination findings.  The MCH213 form can be obtained from the school office or by clicking below.
All students entering Kindergarten through grade twelve (12) MUST PRESENT PRIOR TO SCHOOL ENTRY a record that the child has received the immunizations required by the Commonwealth of Virginia. For specific requirements, contact the school nurse or Health Services office. Immunizations must be documented with complete dates on form MCH213 PDF File, official military shot record, or Health Department or doctor’s office form.
Minimum Immunization Requirements
 
Pre-Kindergarten: All state of Virginia four-year-old shots are required for a child to participate in a pre-kindergarten program.  Any student turning four after the first day of school must complete all required shots within 15 days after their 4th birthday to remain in the program.

            
Kindergarten through twelfth grade:  All students must adhere to the state of Virginia’s Minimum Immunization Requirements for Entry into School:

Documentary proof shall be provided of adequate age appropriate immunization with the prescribed number of doses of vaccine indicated below for attendance at a public or private elementary, middle or secondary school, child care center, nursery school, family day care home or developmental center.  Vaccines must be administered in accordance with the harmonized schedule of the Centers for Disease Control and Prevention, American Academy of Pediatrics, and American Academy of Family Physicians and must be administered within spacing and age requirements.

Diphtheria, Tetanus, & Pertussis (DTaP, DTP, or Tdap) - A minimum of 4 properly spaced doses. A child must have at least one dose of DTaP or DTP vaccine on or after the fourth birthday. If the child has received six doses of DTaP or DTP before the fourth birthday, additional doses are contraindicated. DT (Diphtheria, Tetanus) vaccine is required for children who are medically exempt from the pertussis containing vaccine (DTaP or DTP). Adult Td is required for children 7 years of age and older who do not meet the minimum requirements for tetanus and diphtheria.  A booster dose of Tdap vaccine is required for all children entering the 7th grade.

Haemophilus Influenzae Type b (Hib) Vaccine - This vaccine is required ONLY for children up to 60 months of age. A primary series consists of either 2 or 3 doses (depending on the manufacturer) followed by a booster dose at age 12-15 months. However, the child’s current age and not the number of prior doses received govern the number of doses required. Unvaccinated children between the ages of 15 and 60 months are only required to have one dose of vaccine.

Hepatitis A (HAV) Vaccine - Effective July 1, 2021, a minimum of 2 doses of Hepatitis A vaccine. The first dose should be administered at age 12 months or older. 

Hepatitis B Vaccine - A complete series of 3 doses of hepatitis B vaccine is required for all children born on and after January I, 1994. However, the FDA has approved a 2-dose schedule ONLY for adolescents 11-15 years of age AND ONLY when the Merck Brand (RECOMBIVAX HB) Adult Formulation Hepatitis B Vaccine issued. The 2 RECOMBIVAX HB Adult doses must be separated by a minimum of 4 months. If the 3-dose hepatitis B vaccine schedule is used, there should be at least 1 month spacing between the 1st and 2nd doses and 4 months spacing between the 1st and 3rd doses.

Measles, Mumps, & Rubella (MMR) Vaccine - A minimum of 2 measles, 2 mumps, and 1 rubella. (Most children receive 2 doses of each because the vaccine usually administered is the combination vaccine MMR). First dose must be administered at age 12 months or older. Second dose of vaccine must be administered prior to entering kindergarten but can be administered at any time after the minimum interval between dose 1 and dose 2. 

Meningococcal Conjugate (MenACWY) Vaccine - Effective July 1, 2021, a minimum of 2 doses of MenACWY vaccine are required. The first dose should be administered prior to entering 7th grade. The final dose should be administered prior to entering 12th grade.

Pneumococcal (PCV) Vaccine - This vaccine is required ONLY for children less than 60 months of age. One to four doses, dependent on age at first dose, of pneumococcal conjugate vaccine are required. 

Polio Vaccine - A minimum of 4 doses of polio vaccine is required. One dose must be administered on or after the fourth birthday.

Rotavirus Vaccine - This vaccine is required ONLY for children less than 8 months of age. Effective July 1, 2021, 2 or 3 doses of Rotavirus Vaccine (dependent upon the manufacturer) is required.

Varicella (Chickenpox) Vaccine - All children born on and after January 1, 1997, shall be required to have one dose of chickenpox vaccine administered at age 12 months or older. Effective March 3, 2010, a second dose must be administered prior to entering kindergarten but can be administered at any time after the minimum interval between dose 1 and dose 2.

Human Papillomavirus (HPV) - Effective July 1, 2021, a complete series of 2 doses of HPV vaccine is required for students entering the 7th grade. The first dose shall be administered before the child enters the 7th grade. After reviewing educational materials approved by the Board of Health, the parent or guardian, at the parents or guardians sole discretion, may elect for the child not to receive the HPV vaccine.


Vaccines must be administered in accordance with the harmonized schedule of the Centers for Disease Control and Prevention, American Academy of Pediatrics, and American Academy of Family Physicians and must be administered within spacing and age requirements.

Virginia School Entrance Requirements can also be located on the Virginia Department of Health website.