Immunization resources for school and child care entry

Last content update: 11/13/2023

California school immunization law outlines the immunizations required for school and childcare entry. Please encourage parents to make sure their children receive all the CDC-recommended vaccines, in addition to the ones required for school and child care entry. These resources will help schools to comply with California immunization requirements and complete California school immunization records.

    California School Immunization Report

    The immunization report is due December 1, 2023!

     Schools will be reporting the immunization status of Pre-kindergarten, TK/Kindergarten, and 7th grade. Visit for more information. 

    There is a new reporting site! The reporting website has moved to the CAIR Hub. You will need to:

    1. register for a CAIR Hub account (SCRL users already have one)
    2. set up a user profile
    3. log in to CAIR Hub to report using the Immunization Reporting application on your dashboard

    Instructions for Immunization Assessment

    Reporting site


    School and Childcare Rooster Lookup (SCRL)

    The new School and Childcare Rooster Lookup (SCRL) tool allows school and childcare staff to check if children meet immunization requirements based on records found in the California Immunization Registry (CAIR). It can help determine which students are up to date and can be admitted and which students are overdue. You can register for SCRL at CAIR Hub

    See SCRL FAQ’s



    Medical exemptions

    All new medical exemptions for school and childcare entry must be issued through the CAIR-ME website. Medical exemptions can only be issued by MDs or DOs licensed in California and must meet applicable criteria.

    Existing medical exemptions issued before 2021:

    •  A medical exemption remains valid until the earliest of:
      • When the child enrolls in the next grade span (TK/K-6th grade or 7th-12th grade).
      • The expiration date in a temporary medical exemption.
      • Revocation of the exemption because the issuing physician has been subject to disciplinary action from the physician’s licensing entity.
    • Allows CDPH to revoke exemptions issued in CAIR-ME and parents to appeal the revocation.
    • Prevents physicians from submitting new MEs if they are on probation or have a pending accusation for immunization-related practices or are deemed a public health risk. 

    See Medical Exemption FAQs



    Student immunization records

    If a parent or guardian cannot find a student’s immunization record, here are a few places to start: 

    • You can get a digital copy of the immunization record from the Digital Vaccine Record Portal: Request Record

    (Note: If the digital vaccine record is not complete, the provider might not have submitted all your child's vaccinations to the California Immunization Registry (CAIR). We recommend contacting the provider to have them submit the record to the registry.)

    • Doctor's office or clinic where shots were given most recently.
    • Schools that the child attended previously.
    • California Immunization Registry (CAIR). Find out if a child's records are included in the immunization registry. 
    • The Travel and Immunization Clinic charges a $5.00 fee for a hard copy of the immunization records. Phone: (408) 792-5200

    Immunization record translations

    If a parent needs their child’s record translated, please refer them to their doctor or community clinic.

    Handouts for parents


    Resources for school staff


    Immunization Handbook (Blue Book)

    The 12th edition of the California Immunization Handbook reviews school immunization requirements, staff responsibilities, procedures for evaluation, and reporting obligations. Access an electronic version.

    Past SCC trainings

    CDPH reporting webinars

    These recorded webinars demonstrate how school staff and child care facilities will register and login to the new immunization reporting site and submit students' immunization status.​

    School personnel 10/4/23

    ​​​​​Childcare personnel 10/11/23

    Become an Immunization Champion for your school!

    California Public Health has released free online training for schools to support the implementation of school immunization requirements. These modules will provide important information on school immunization requirements, how to process the records, follow up on conditional entrants, and how to report. Access the modules.


    ©2024 County of Santa Clara. All rights reserved.