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Immunization Program
In Nebraska, children can’t attend classes in public or private school until the school has written proof of their immunization status (Neb. Rev. Stat.  §§ 79-217 through 79-253).
To attend school, children in Nebraska are required to be immunized against the following diseases:
• Diphtheria, tetanus, and pertussis
• Polio
• Measles, mumps, and rubella
• Hepatitis B
• Varicella (chicken pox)
Each school in Nebraska is required to keep the immunization history of the students enrolled on file. In addition, schools are required to report information on student’s immunization status annually to the Nebraska Immunization Program.  School reporting is conducted on-line via a web survey, due by November 15th.  Below is a link to the School Survey letter sent to Nebraska School Administrators and school nurses.  A document link to the school survey template has also been provided.  This template can be used prior to completing the online survey.  The third link is to the online survey.
Violation of these requirements is a Class V misdemeanor.  Schools must report on students entering school for the first time (kindergarten or 1st grade); 7th graders; and all out-of-state transfer students (including foreign exchange students).
For complete information, please refer to Title 173 of the Nebraska Administrative Code, Chapter 3: Rules and Regulations Relating to School Health, Communicable Disease Control, and Physical Examination and Immunization Standards. Title 173 is available on the Internet:

While there are exemptions to the immunization requirements, parents need to be aware that unvaccinated children are not the only ones at risk for contracting disease. When parents choose not to immunize, their decision affects every other child in the school as well as their own child. Many immunizations require multiple doses before a child builds up full immunity, and some children are not able to be vaccinated.  These vulnerable children depend upon “herd immunity” for protection.
What if You Don't Immunize Your Child?
Exemptions to the vaccination requirement include:
  •  A statement signed by a physician that the required immunization would be injurious to the student or members of the student's family or household.
  •  An affidavit signed by a legally authorized representative stating that the immunization conflicts with the tenets and practices of a recognized religious denomination of which the student is a member.
    Religious Affidavit for Vaccine Exemption.pdfReligious Affidavit for Vaccine Exemption
Students with exemptions on file may need to be excluded from school if there is an outbreak of a vaccine-preventable disease.
Varicella (Chickenpox)

If the student has not had the varicella (chickenpox) vaccine but has had the varicella (chickenpox) disease then a statement signed by a licensed medical physician, parent, or guardian must be submitted verifying the name of the student and the year in which he/she had the disease.
Provisional Enrollment

Some immunizations call for multiple doses of vaccine. For students who have not completed all doses required, state statute allows them to be provisionally enrolled in school if they have received at least one dose of each of the required vaccines prior to enrollment and continue to get the remaining shots as rapidly as is medically feasible.
This means that school staff will need to track progress toward the completion of the required immunizations. Vaccine series do not need to be restarted if the child has a documented immunization record, even if it has been a long time since the last dose, just have the child finish the series.
Contact Information
Immunization Program
PO Box 95026
Lincoln NE, 68509-5026
Fax: 402-471-6426
Link to Parent Site Home Page
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