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CO Immunization Laws For School Attendance

Background: At this time of year many parents are confronted by school officials with CO State vaccination compliance rules. Since states do vary in their requirements, this law is printed here for parents, grandparents, or guardians.

What does it mean to be in compliance? 6 CCR 1009-2 There are three ways a student can be in compliance with Colorado school immunization law: 1) Fully immunized: Student has received all school-required vaccines and a completed Certificate of Immunization is included in the student’s electronic or hard copy file. 2) In process: Student is attending school and in the process of getting up to date on their required vaccines. Within 14 days of receiving notification, the student must receive required vaccines and submit a signed written plan for obtaining the remaining vaccines, following the ACIP schedule for minimum intervals and ages. 3) Exempted: Student has on file either a: ➢ Certificate of Medical Exemption, OR ➢ Certificate of Nonmedical Exemption. Required vaccines: Child cares and schools Vaccines required to attend child care Vaccines required to attend school (K-12) Hepatitis B (HepB) Hepatitis B (HepB) Diphtheria, Tetanus, Pertussis (DTaP) Diphtheria, Tetanus, Pertussis (DTaP) <7 y/o Tetanus, Diphtheria, Pertussis (Tdap) > 7 y/o (for catch-up and/or 6th grade entry) Inactivated Poliovirus (IPV) Inactivated Poliovirus (IPV) Measles, Mumps, Rubella (MMR) Measles, Mumps, Rubella (MMR) Varicella (chickenpox) Varicella (chickenpox) Haemophilus Influenza B (Hib) Pneumococcal Disease (PCV) from published CDC guidelines Should anyone have questions concerning this _or any other public health topic_ please contact the local Public Health Agency (PHA) at your convenience between the hours of 8 am and 5 pm, Monday through Friday. The Custer County PHA phone number is as follows:


For more complete information, the CDC and American Academy of Pediatrics are accessible at the link:

Incidentally, the arrival of vaccines for influenza, RSV, and COVID and the information related to each and all of these will be announced the day we receive them. Respectfully, Clifford Brown, OD, MPH, FAAO(D) CAPT/USPHS (Ret) Director of Public Health Custer County

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