Immunization Requirements

 

Children entering preschool, kindergarten or seventh grade and those enrolling for the first time should receive the immunizations listed below. Parents must also provide their child’s school with a state immunization certificate, which documents the vaccinations, before the first day of school.

Vaccines and immunization certificates are available at your pediatrician’s office or the Knox County Health Department. To see if your child has proof of the required vaccines, you may contact the medical office or clinic where your child receives vaccinations, or you may call 865-215-5150.

To have your child vaccinated at the health department, please call 865-215-5070 to schedule an appointment. At the appointment, please bring your (parent/guardian’s) photo ID, insurance card and your child’s vaccination record. Most insurance plans cover preventive services such as vaccines, but parents are encouraged to confirm this with their insurance provider prior to the appointment. Vaccines are available to children who do not have insurance at no cost. There is a minimal fee for administration. Appointments are available at each KCHD location:

  • Main Offices and the Travel and Immunization Clinic, 140 Dameron Avenue, 865-215-5070
  • Teague Clinic, 405 Dante School Road, 865-215-5500
  • West Clinic, 1028 Old Cedar Bluff, 865-215-5950

Immunization requirements by grade:

Daycare, Preschool or Pre-Kindergarten

(Infants entering child care facilities must be up to date at the time of enrollment and are required to provide an updated certificate after completing all of the required vaccines due no later than 18 months of age.)

  • Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
  • Poliomyelitis (IPV)
  • Measles, Mumps, Rubella (1 dose of each, given together as MMR)
  • Varicella (1 dose or credible history of disease)
  • Haemophilus influenzae type B (Hib) – age younger than 5 years only
  • Hepatitis B (HBV) (usually completed in infancy)
  • Pneumococcal conjugate vaccine (PCV) – age younger than 5 years only
  • Hepatitis A – 1 dose, required by 18 months of age or older

Kindergarten

  • Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
  • Hepatitis B (HBV) (usually completed in infancy)
  • Measles, Mumps, Rubella (2 doses of each, given together as MMR)
  • Poliomyelitis (IPV) – final dose on or after the 4th birthday
  • Varicella (2 doses or history of disease)
  • Hepatitis A (total of 2 doses, spaced at least 6 months apart)

Seventh Grade

  • Tetanus-diptheria-pertusis booster (Tdap)
  • One dose of varicella or credible history of disease if new to TN schools or if entering kindergarten

New Students

  • Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
  • Measles, Mumps, Rubella (2 doses of each, given together as MMR)
  • Poliomyelitis (IPV or OPV) (final dose on or after the 4th birthday)
  • Varicella (2 doses or credible history of disease)
  • Hepatitis B (HBV)
  • New students entering grades other than 7th grade are not required to have Tdap

Alternative proof of immunity for certain diseases

A positive serology (year of test documented) is acceptable as an alternative to immunization for measles, mumps, rubella, hepatitis A, hepatitis B or varicella. For varicella, documentation of provider diagnosed with varicella or provider-verified credible history of disease given by a parent or guardian is also acceptable. By documenting a history of the disease, the provider is asserting that he or she is convinced that the child has had chickenpox.

Medical or Religious Exemptions

Children with medical exemptions must provide their child’s school with documentation from their medical provider. Religious exemptions require a signed statement by the parent/guardian that vaccination(s) conflict with his or her religious tenets or practices.