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Immunization Requirements
2009-2010 School Year
Utah Immunization Rule for Students R396-100
In order to attend school, a student must have proof of receiving the following immunizations:
Grades K - 6
- 5 DTP (4 if the 4th dose given after the 4th birthday)
- 4 Polio/IPV (3 if 3rd dose given after the 4th birthday)
- 2 MMR
- 2 Hepatitis A
- 3 Hepatitis B
- 1 Varicella (or history of having Chicken Pox disease, parents must sign verification in immunization pink card)
Grade 7
- 5 DTP (4 if the 4th dose given after the 4th birthday)
- 4 Polio/IPV (3 if 3rd dose given after the 4th birthday)
- 2 MMR
- 2 Hepatitis A
- 3 Hepatitis B
- 1 Varicella (or history of having Chicken Pox disease, parents must sign verification on immunization pink card)
- 1 TDaP Booster
Grade 8 - 10
- 5 DTP (4 if the 4th dose given after the 4th birthday)
- 4 Polio (3 if the 3rd dose given after the 4th birthday)
- 2 MMR
- 3 Hepatitis B
- 1 Varicella (or history of having Chicken Pox disease, parents must sign verification on immunization pink card)
- 1 TDaP Booster
Grade 11 - 12
- 5 DTP (4 if the 4th dose given after the 4th birthday)
- 4 Polio/IPV (3 if 3rd dose given after the 4th birthday)
- 2 MMR
Conditional Enrollment and Exclusion: R396-100-7
A student may be allowed to attend school conditionally if the student has received one dose of each required vaccine and be on schedule for subsequent immunizations. If calendar month past due the school must immediately exclude from school.
Immunization Exemption: 53A-11-302
A student may be exempt from immunizations for medical or personal belief reasons. Exemption forms are available at Summit County Health Department and may be available through your physician. The parent or guardian must give the school the original copy of the exemption form, to be kept on file at the school. Exemption forms cannot be faxed to the school.
In the event of an outbreak, students who have claimed an exemption or are on conditional enrollment and have not received the immunization for which there is an outbreak are to be excluded from school.


