Coordinated School Health

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NEW STATE IMMUNIZATION RULES AND CERTIFICATES for students 
entering the 7th Grade

The Tennessee Department of Health (TDOH) has issued new immunization rules 
and is issuing a new Official Certificate that is required for entry into 
school effective July 1, 2010.  All newly required vaccines are routinely 
recommended for all children.  The changes are as follows:

•	There will now be only one official TDOH certificate of immunization 
that must be filled out by medical providers for delivery to schools prior to 
entry of their child into pre-school, pre-k, kindergarten, 7th grade, or as a 
new student.  This form will only be available from a private healthcare 
provider or local health department after April 1, 2010.  
•	For children entering the 7th grade in Tennessee schools, proof of 
the two new immunizations (see below) is required on the new immunization 
certificate.  The school will attach the new form to the form presently on 
file for those students currently enrolled.

Summary:  Tennessee Immunization Requirements (TDOH 1200-14-1-29)

Children entering 7th Grade
New immunization requirements:
Tetanus-diphtheria-pertussis booster (“Tdap)
Verification of immunity to varicella (2 doses or history of disease)

If you have additional questions, please contact your school nurse or the 
Coordinated Health office at 364-9945.

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Coordinated School Health

New Immunization Requirements