NRS 392.435 Immunization of pupils: Certificate prerequisite to registration; conditional registration; effect of failure to immunize; report to Health Division; inclusion of certificate in pupil’s record.
Unless excused because of religious belief or medical condition, a child may not be registered in a public school within this State unless his parents or guardian submit to the board of trustees of the school district in which the child resides a certificate stating that the child has been immunized and has received proper boosters for that immunization or is complying with the schedules established pursuant to NRS 439.550.
Immunization Resources
2025-2026 School Year Immunization Guidelines
NRS 392.435 Immunization of pupils: Certificate prerequisite to enrollment; conditional enrollment; effect of failure to immunize; report to Health Division; inclusion of certificate in pupil’s record.
Unless excused because of religious belief or medical condition, a child may not be enrolled in a public school within this State unless his parents or guardian submit to the board of trustees of the school district in which the child resides a certificate stating that the child has been immunized and has received proper boosters for that immunization or is complying with the schedules established pursuant to NRS 439.550 for the following diseases:
5 DTaP/DPT (Minimum age: 6 weeks) if series was started before age 7 (lab titer NOT acceptable)
Catch up schedule – Students age 7 or older, who are not immunized with the childhood DTaP/DPT vaccine series, should receive Tdap vaccine as the initial dose in the catch-up series. If additional doses are needed, use the Td/Tdap vaccine.
- 1st, 2nd dose and 2nd and 3rd dose must be separated by 4 weeks
- 4th dose must be separated from the 3rd dose by at least 4 months
- 5th dose must be separated from the 4th dose by at least 6 months and given on or after 4th birthday
- 5th dose not needed if 4th dose given on or after 4th birthday and at least 6 months after previous dose
- A total of 4 doses DTaP/DTP/Td/Tdap combination is needed if the first dose is given less than 12 months of age. Dose 3 and 4 must be 6 months apart. 4th dose does not need to be repeated if it was administered at least 4 months after the 3rd dose
- A total of 3 doses Td/Tdap combination is needed if first dose given at 12 months and older. Dose 2 and 3 must be 6 months apart
- Tdap if given at age 7,8 or 9, must be repeated at age 11-12 years old. Dose is valid if administered at age 10.
2 Hepatitis A (Minimum age: 12 months) (lab titer acceptable)
- 2nd dose must be at least 6 months after the 1st dose.
3 Hepatitis B (Minimum age: birth) (lab titer acceptable)
- 1st and 2nd dose must be separated by 4 weeks
- 2nd and 3rd dose must be separated by at least 8 weeks
- 3rd dose at least 16 weeks after the 1st dose. (Minimum age for final- 3rd or 4th dose: 24 weeks of age)
2 MMR** (Minimum age: 12 months) (lab titer acceptable)
- 1st and 2nd dose must be separated by at least 4 weeks
- 2nd not required until on or after the 4th birthday
1-2 MCV4 (MenACWY-Quadrivalent MENINGOCOCCAL) (lab titer NOT acceptable)
- Required for 7th grade registration after June 30, 2017 (and all students new to District between 8th and 12th grade).
- Must receive at least 1 dose of MenACWY on or after age 10 years. (Does not apply to students registered before July 1, 2009).
- A MCV4 (MenACWY) dose is required on or after the age of 16 for students entering 12th grade.
- Required for 12th grade registration after June 30, 2022. (Does not apply to students registered before July 1, 2009).
3-4 Polio/IPV/OPV (Minimum age: 6 weeks) (lab titer NOT acceptable)
- 1st, 2nd and 3rd doses must be separated by 4 weeks
- Final dose at least 6 months after the previous dose and on or after 4th birthday
- 4th dose not needed if 3rd dose is at least 6 months from the previous dose and on or after 4th birthday
1 Tdap (lab titer NOT acceptable)
- Required for 7th grade registration and all students grade 8th - 12th
*See DTaP/DTP for catch up schedule. Dose is valid if administered at age 10.
2 Varicella/Chicken Pox** (Minimum age: 12 months) required for students new to Nevada, or new to District after July 1, 2011
- 12 months through 12 years, 1st and 2nd dose should be separated by 3 months; however dose is valid if separated by 4 weeks if inadvertently administered (lab titer acceptable).
- 13 years and older, 1st and 2nd dose must be separated by 4 weeks
- Physician verification of past disease required for exemption
**Live vaccines (MMR, Varicella and live, attenuated Influenza) must be separated by 28 days if not given on the same day. Four-day rule applies if the same live vaccine is administered.
New Waiver Changes
The religious exemption form will be completed annually in accordance with state guidelines.
The permanent medical exemption will not have to be completed annually since it is a permanent medical condition.
The temporary medical exemption will be completed annually in accordance with state guidelines.