Child Care Programs, Schools and Post-Secondary Institutions
School Vaccination Fraud Awareness
The New York State Department of Health protects and promotes health and well-being for all, including keeping children safe from vaccine-preventable diseases. Schools are on the frontlines in the defense against vaccine preventable diseases and have the responsibility to reject records they believe to be fraudulent based on their knowledge and assessment of the facts. Vaccine fraud is a serious threat to public health and safety across New York, and combating it in all forms is a top priority.
- Learn more: School Vaccination Fraud Awareness
Important: NYSDOH & NYSED Statement Regarding Medical Exemptions NYSDOH-NYSED Letter (PDF)
- NYS School Immunization Requirements
- Annual Immunization Surveys
- Immunization Survey Access
- Medical Exemptions
- Additional Resources
- Contact Information
NYS School Immunization Requirements
- Immunization Requirements for School Entrance/Attendance for the 2025-26 school year (PDF)
- Spanish, Arabic, Bengali, Burmese, Chinese, French, Haitian Creole, Hindi, Italian, Japanese, Korean, Nepali, Polish, Russian, Urdu, Yiddish (PDF)
- School Immunization Requirements 2025-2026 Webinar (MP4)
- Overview of 2025-2026 School Year Immunization Requirements (PDF)
- School Immunization Requirements Handbook (replaces the School Survey Q&A Booklet) - Requires HCS log-in to access
- School Administrator Letter re: School Immunization Requirements (December 2022) (PDF)
Daycare and PreK-12 Requirements
Post-Secondary Requirements
Annual Immunization Surveys
- The 2026 survey dates are to be determined.
- It is required by Public Health Law § 2164 to complete this survey for the following groups:
- Day Care Centers
- Small Day Care Centers (not in a personal residence)
- Standalone private Pre-Kindergarten programs that operate outside of a home
- Head Start Programs
- Nursery Schools
- General Resources for the Day Care Survey:
- Survey is currently open and will close 1/16/2026.
- It is required by Public Health Law § 2164 for to complete this Survey for the following groups:
- Pre-Kindergarten programs housed within and administered by a school
- Schools (Public, Private, Charter, BOCES, OCFS) that house grades kindergarten through twelfth
- General Resources for the School Immunization Survey:
- The 2025-2026 Post-Secondary Immunization Survey has closed. 2026-2027 survey dates are to be determined.
- It is required by Public Health Law § 2165 to complete this Survey for the following groups:
- Colleges
- Universities
- Other institutions for higher education authorized to confer degrees
- General Resources for the Post-Secondary Immunization Survey:
- Survey dates are to be determined.
- It is required by Public Health Law § 2164 to complete this survey for the following groups:
- Day cares housed within a personal residence
- General Resources for the Group Family Day Care Survey:
- Resources will be posted as they become available.
Day Care Immunization Survey
School Immunization Survey
Please note, New York City Public and Charter Schools should NOT complete the New York State Department of Health Immunization surveys because their data is reported by the New York City Department of Health and Mental Hygiene on their behalf.
Post-Secondary Immunization Survey
Group Family Day Care Survey
Immunization Survey Access
- Health Commerce System (HCS) access is required to complete the yearly Immunization Surveys in SMART (Survey Management and Response Tool). In addition, schools with an HCS account may request access to NYSIIS (New York State Immunization Information System), to verify student immunization status.
- General Health Commerce System (HCS) Resources:
Medical Exemptions
- NYSDOH-NYSED Letter Regarding Medical Exemptions (PDF)
- Medical Exemption Review Procedures for Schools Outside New York City (PDF)
- Guidance on Immunization-Related Medical Exemptions for School-Aged Children (PDF)
- Immunization Requirements for School Attendance/Medical Exemption Statement for Children 0-18 years of Age - (Outside NYC) Fillable Form (PDF)
- Medical Request for Immunization Exemption (NYC only) Fillable Form (PDF)
Additional Resources
- CDC's Recommended Child and Adolescent Immunization Schedule - includes vaccines, abbreviations and trade names, CDC catchup schedule and schedule by medical indication
- CDC's Epidemiology and Prevention of Vaccine-Preventable Diseases – also known as the "Pink Book" which provides information on vaccines and the diseases they prevent
- Quick Chart of Vaccine-Preventable Disease Terms in Multiple Languages (immunize.org)
- VIS Translations | Immunize.org
- FERPA/HIPAA | New York State Education Department (nysed.gov)
Contact Information
- For questions regarding school immunizations within New York State, contact the NYSDOH Division of Vaccine Excellence, School Immunization at osas@health.ny.gov, or by phone at 518-474-1944.
- For questions regarding school immunizations for New York City, contact the NYC Department of Health and Mental Hygiene unit at school_immunizations@health.nyc.gov or by phone at 347-396-2433.