Nebraska Child Care Immunization Laws
2023 Childcare Survey
Each licensed childcare program in Nebraska is required to:
To review the full regulations, refer to Title 173 of Nebraska Administrative Code, Chapter 4
All private and public schools/districts in Nebraska are required to obtain written proof of each student's immunization status prior to child attending classes (Neb. Rev. Stat. §§ 79-217 through 79-253).
While Nebraska does allow exemptions to immunization requirements, unvaccinated children are not the only children at risk for contracting diseases.
As many childcare facilities and schools include children of different ages, the younger children rely on the older children to be immunized as some immunizations, like measles and chickenpox, cannot be given until a child is one of age. Some immunizations require multiple doses before a child is considered to have full immunity such as the vaccine for Diphtheria, Tetanus and Pertussis. There are also children who are not medically able to be vaccinated. These vulnerable children depend upon “herd immunity" for protection.
What If You Don't Vaccinate Your Child?
**Children/students with exemptions on file may need to be excluded from childcare program or school if there is an outbreak of a vaccine-preventable disease.**
If the child is not immunized against Varicella (Chickenpox) due to previously contracting the disease, documentation signed by a licensed medical practitioner (physician, physician assistant or certified nurse practitioner) or parent/guardian must be submitted verifying the name of the student and the year in which the child contracted the disease. Documentation of Varicella Disease Documentation of Varicella Disease- Spanish
A statement signed by a physician, physician assistant, or advanced practice registered nurse - nurse practitioner that the required immunization would be injurious to the student or members of the student's family or household. Medical Exemption Form
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
Parental refusal- for childcare programs ONLY
Copy of written statement from the parent or guardian must state the reason(s) why the parent or guardian does not wish to have the child immunized.
Some immunizations call for multiple doses of vaccine. For students who have not completed all doses required, state statute allows students to be provisionally enrolled in school if at least one dose of each of the required vaccines has been administered prior to enrollment. The student is required to continue to receive the remaining vaccinations as rapidly as medically feasible.
Vaccine series do not need to be restarted if the child has a documented immunization record, regardless of the time passed since the last dose. The series should be resumed from last documented dose. It is the responsibility of the school to monitor progress toward the completion of the required immunizations.