School Nurse
Massachusetts Physicals and Immunization Requirements for Pre-School
Pre K: Current physical exam and up-to-date immunizations
Attendees <2 years should be immunized for their age according to the ACIP Recommended Immunization Schedule. Requirements listed in the table below apply to all attendees ≥2 years. These requirements also apply to children in preschool classes called K0 or K1.
Hib |
1-4 doses; the number of doses is determined by vaccine product and age the series begins |
DTaP |
4 doses |
Polio |
3 doses |
Hepatitis B |
3 doses; laboratory evidence of immunity acceptable |
MMR |
1 dose; must be given on or after the 1st birthday; laboratory evidence of immunity acceptable |
Varicella |
1 dose; must be given on or after the 1st birthday; a reliable history of chickenpox* or laboratory evidence of immunity acceptable |
Screenings at School
The state of Massachusetts requires that each student participate in annual health screenings. The current pre-school requirements are as follows:
Pre-K: Vision Screening
To opt your child out of this Health Screening please provide that request in writing to the School Nurse.
Contact Information