Each state decides which vaccines are required for your child’s enrollment and attendance at a school in that state. These laws often apply not only to children attending public schools but also to those attending private schools and day care facilities.

All states provide medical exemptions, and some state laws also offer exemptions for religious or philosophical reasons. State laws also establish mechanisms for enforcement of school vaccination requirements and exemptions.

• Keep track of your child’s vaccine record, as schools and childcare facilities in your state may require proof of vaccination.

• Talk to a staff member to learn what vaccines the school or childcare facility requires. They will be able to provide you with specific information about their requirements.

• If you would like to know your state’s immunization requirements, contact your state’s immunization program or state health department.

In Missouri, state law requires children enrolling in and attending school or child care facilities to be vaccinated against certain diseases, as determined by the Missouri Department of Health and Senior Services. These requirements apply to public, private, and parochial schools, as well as child care facilities. Missouri provides exemptions for medical reasons, which must be certified by a licensed physician. Additionally, Missouri allows for religious exemptions if a parent or guardian objects to immunization on the basis of a religious belief. To claim an exemption, a signed statement must be provided to the school or childcare facility. Parents and guardians are responsible for keeping track of their child's vaccination records, as schools and childcare facilities will require proof of immunization or an appropriate exemption. For the most current information on vaccine requirements and exemptions, parents should contact their child's school, the Missouri immunization program, or the state health department.