District Health State Health Requirements
Does your child need medication during the school day? Please complete the Parental Authorization of Medical Administration Form (PDF). For more information, please review our Medication At School page.
The Iowa Department of Public Health state law requires every school to have an up to date and completed certificate of immunization on file for each student enrolled. For more details on specific information regarding each screening or vaccination, click on the column name or talk to your medical care provider.
Please use this health form matrix to determine which medical forms and immunizations are required for students at each grade level. All completed forms are to be turned in or faxed to your child’s appropriate building.
Vision Screening Certificate (PDF) – If screened by other approved providers (physician, physician assistant, nurse, free clinic, child care center, local public health department, school or approved community based organization)
Immunization Certificate (PDF)
Immunization Requirements (PDF)
Medical Exemption: A medical exemption to immunization may be granted to a student when the required immunizations would be injurious to the health and well-being of the applicant or any member of the applicant’s family or household or the required vaccine would violate minimum interval spacing.
Religious Exemption: A religious exemption to immunization may be granted when immunizations conflict with a genuine and sincere religious belief, and is not based merely on philosophical, scientific, moral, personal or medical opposition to immunizations. Religious exemptions should not be utilized to prevent truancy issues with students not presenting a valid immunization certificate to enroll in school.
Provisional Enrollment: A student may be provisionally enrolled if they have received at least one dose of each of the required vaccines, or they are a transfer student from another U.S. school system. In such cases, a provisional certificate must be issued for a medically feasible amount of time in which vaccines needed to qualify for a certificate of immunization can be administered, not to exceed 60 calendar days (IAC 641-7.7(2). It is the responsibility of the applicant, parent or guardian to ensure the applicant receives all necessary immunizations during the provisional enrollment period and submit a certificate of immunization to the admitting official at the end of the provisional enrollment period (IAC 641-7.7(3)). If at the end of the 60 days, the applicant has not completed the required immunizations due to a minimum interval requirement, a new provisional certificate must be submitted to the admitting official. All provisional certificates must be maintained by the admitting official until a certificate of immunization has been submitted (IAC 641-7.7(6)). At the end of a provisional enrollment period, if an enrollee has not submitted a certificate of immunization, the admitting official shall immediately exclude the applicant from the benefits, activities and opportunities of the school until the applicant submits a valid certificate of immunization (IAC 641-7.7(5)).
Please contact your building directly to obtain forms.
State Health Requirements By Grade
| Grade | Dental Screen | Vision Screen | Tdap | DTaP | MMR | Polio | Varicella | PCV | Hep B | Hib | Meningococcal |
| PS | 4 doses | 1 dose | 3 doses | 1 dose | See below** | 3 doses** | |||||
| PreK | 4 doses | 1 dose | 3 doses | 1 dose | See below** | 3 doses** | |||||
| KG | Y | Y | 5th dose* | 2 doses | 4th dose* | 2 doses | 3 doses | ||||
| 1st | |||||||||||
| 2nd | |||||||||||
| 3rd | Y | ||||||||||
| 4th | |||||||||||
| 5th | |||||||||||
| 6th | |||||||||||
| 7th | Y | 1 dose* | |||||||||
| 8th | |||||||||||
| 9th | Y | ||||||||||
| 10th | |||||||||||
| 11th | |||||||||||
| 12th | 2 doses |
* Dtap Vaccination Details – 5th dose after age 4 years old
* Polio Vaccination Details – 4th dose after age 4 years old
* Meningococcal Vaccination Details – On or after 10 years of age for students in grade 7 or above
** Hib Vaccination Details – Number of required doses will vary depending on your child’s immunization history. Please check with your health provider.
** PCV Vaccination Details – Number of required doses will vary depending on your child’s immunization history. Please check with your health provider.
Where can my child receive vaccines?
At Pella Medical Clinic or a medical clinic of your choice. Pella Medical Clinic serves those who have health insurance, no health insurance, or are enrolled in Medicaid (Title 19). Call 641-621-2200 to schedule an appointment. If your child already has an established physician at Pella Medical Clinic and is not due for a well-child checkup, an appointment may be scheduled with the immunization nurse.
At Marion County Public Health in Knoxville. They are able to vaccinate children with no health insurance coverage, or are enrolled in Medicaid (Title 19), are American Indian or Alaskan Native, or are under-insured (has some type of health insurance, but the benefit plan does not include immunizations). Call 641-828-2238 to schedule an appointment.