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North Carolina Immunization Branch

Schools and Child Care Facilities


Help Protect Yourself and Others from COVID-19

All children in North Carolina must be vaccinated against certain diseases.  Immunization records are checked when a child enters school. Find out what vaccines children must have before entering school, access reporting forms and view, print or order resources schools may use to communicate with parents.

Immunization Assessment Extension

We are writing to notify you of an extension to the current documentation deadlines for immunizations and school health assessments, pursuant to a new Executive Order issued by Governor Roy Cooper and a State Health Director Memo issued by State Health Director Dr. Elizabeth Tilson.

The deadline to submit proof of required immunizations and school health assessments has been extended to Dec. 30, 2020 (or for new students, documents must be presented within 30 calendar days of their first day of school). After this point a student must be excluded from in-person and remote learning until compliant with requirements. Schools will have until February 1, 2021 to file annual immunization reports.

While it is critically important that children are vaccinated and heath care settings are low risk, this extension was made due to ongoing concerns and reports that students and families are experiencing continued barriers to completing immunization and school health assessment requirements as a result of the COVID-19 pandemic. The new orders issued today provide additional time for families. This extension grants all of us the pressing opportunity to continue our work together to get children and adolescents caught up on vaccinations and well child checks as soon as possible.

Previously, an Executive Order issued by Governor Roy Cooper and a State Health Director Memo issued by State Health Director Dr. Elizabeth Tilson delayed documentation deadlines for proof-of-immunization and health assessment requirements for school and child-care facilities until October 30, 2020.

The Executive Order and State Health Director Memo applies to students enrolled in public, private or religious educational institutions, including child care facilities and K-12 schools as well as colleges and universities. Whether children are home-schooled, attend school in-person or by remote learning, they are required by state law to be immunized based on their age for certain vaccinations as recommended by the Centers for Disease Control and Prevention (CDC). More information on North Carolina’s requirements for vaccines can be found on the NCDHHS website. It is strongly encouraged for families to make arrangements for children to receive their required vaccinations as soon as possible.

North Carolina Public Health’s Immunization Branch also offers comprehensive guidance on immunization recommendations as well as advice for families on navigating access issues during COVID-19.

Thank you for your ongoing partnership.

Reports must be completed on-line by school name and ID number at: 2020 Annual Health Assessment and Immunization Compliance Reporting

The 2020-2021 Annual Immunization Report for College Students is now open. All reports must be submitted electronically to the Immunization Branch by December 15, 2020. You can access the report by clicking on the link: 2020-2021 Annual Immunization Report for College Students .

Annual Health Assessment and Immunization Compliance Reporting

All North Carolina public and public charter schools are required annually to report on the status of Health Assessments for those students who are enrolling for the first time in a North Carolina public or public charter school (§ 130A-441(c}), and the Immunization status of all students in Kindergarten and in Seventh Grade (G.S. 130A-1SS(c)). Students are required to be compliant with regulations within 30 calendar days of school admission. Reporting is mandated within 60 calendar days after commencement of the new school year. As a result, compliance reports are due no later than December 15, 2020, but may be completed at any time prior to that date and are now open.

A combined compliance report is available this year, by school name and ID number, and must be completed on-line at: Annual Health Assessment and Immunization Compliance Reporting

Child Care Facilities

Child care facilities check immunization records, too. Find out what vaccines children need before attending a child care facility, access the 2019 reporting instructions and worksheets; and view and print resources.

N.C. Immunization Law

All children in North Carolina must be immunized. Find out what state law requires.

N.C. Exemptions

Some exemptions to state immunization law are allowed. Learn about exemptions here.




Updated: December 4, 2020