Immunization Program : Nebraska Day Care Immunization Laws

All 50 states and the District of Columbia have immunization requirements for children entering day care and school.

Each licensed day care program in Nebraska is required to keep the immunization history of each child enrolled in its program on file.  Parents or guardians must present one of the following documents to the day care provider to verify immunization status.

  1. An immunization record showing the child is protected by age-appropriate immunization against:
  • Measles, mumps, rubella
  • Polio
  • Diphtheria, tetanus, pertussis
  • Haemophilus influenza type b (Hib)
  • Hepatitis B
  • Varicella (Chicken Pox)
  • Pneumococcal
  1. A certification by a physician, certified nurse practitioner, or physician assistant that immunization is not appropriate for a stated medical reason, or
  1. A written statement that the parent or guardian does not wish to have the child immunized and the reasons why.

 

 2012 DAYCARE IMMUNIZATION REPORTING PACKET 
TypeUse SHIFT+ENTER to open the menu (new window).
  
NameUse SHIFT+ENTER to open the menu (new window).
  
01-2012 ONLINE Annual Letter for Daycare.doc01-2012 ONLINE Annual Letter for Daycare
02-2012 INSTRUCTIONS.doc02-2012 INSTRUCTIONS
03-2012 CHILDHOOD IMMUNIZATION SCHEDULE.pdf03-2012 CHILDHOOD IMMUNIZATION SCHEDULE
04-VACCINE REFERENCE Daycare.pdf04-VACCINE REFERENCE Daycare
05- 2012 Reminder for Provider.pdf05- 2012 Reminder for Provider
06-2012 Documentation of Varicella Disease.pdf06-2012 Documentation of Varicella Disease
07-2012 Medical Exemption.pdf07-2012 Medical Exemption
08-2012Religious AFFIDAVIT.pdf08-2012Religious AFFIDAVIT
09-2012 Section1 IMMUNIZATION Form.pdf09-2012 Section1 IMMUNIZATION Form
10-2012 SECTION 2 form.pdf10-2012 SECTION 2 form
State Statutes for Daycare 173 NAC 4 2.pdfState Statutes for Daycare 173 NAC 4 2
 

  Below are forms in PDF PDF and MS Word MS Word format

PDFDocumentation of Varicella (Chicken Pox) Disease
MS WordDocumentation of Varicella (Chicken Pox) Disease (MS Word)

PDFRefusal of Immunization for Medical Reasons
MS WordRefusal of Immunization for Medical Reasons (MS Word)

PDFRefusal of Immunization of Student for Religious Reasons
MS WordRefusal of Immunization of Student for Religious Reasons (MS Word)

These documents must be presented to the day care provider within 30 days of enrollment and must be updated periodically.

Child care providers and 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 their own child as well as every other child in the home or center. These children, if they become ill, can expose all the other children to disease as well. Child care facilities usually care for children of different ages and the younger children must rely on the older children to be immunized so that they are safe. Even babies who are up-to-date on their shots must rely on the rest of the children to be immunized because some immunizations, like measles and chickenpox, cannot be given until a child is one year old. Other immunizations require multiple doses before a child builds up full immunity.

Contact Information

Immunization Program
PO Box 95026
Lincoln, NE 68509-5026
Phone: (402) 471-6423
FAX: (402 471-6426
Email:  barbara.ludwig@nebraska.gov

 

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