2013-14 Student/Parent Handbook - Nash-Rocky Mount Schools

who received the first dose of Hib vaccine on or after 15 months of
age are required to have only one dose. Persons who have passed
their fifth birthday are not required to be vaccinated against Hib.
Hepatitis B 3 One dose by age three months, second dose by age five months and a
third dose by age 19 months. Persons born on or after July 1, 1994
are required to receive the hepatitis B vaccine. The last dose of
hepatitis B series shall not be administered prior to 24 weeks of age.
Varicella 1 One dose of varicella vaccine - on or after 12 months of age and
before age 19 months - is required for children born on or after
April 1, 2001. However, an individual with laboratory tests showing
immunity or a history of chickenpox documented by a health care
provider, parent, guardian or person in loco parentis shall not be
required to receive varicella vaccine. Documentation of prior history
of chickenpox disease must be on or attached to the lifetime
immunization card or certificate of immunization. Ask your health
care provider for more information.
A physician, health clinic or local health department administering required vaccines must give a Certificate of
Immunization to the person who presented the child for immunization. The certificate/record must include the
following information: a) name, sex and date of birth; b) name and address of parent or guardian; c) number of
vaccine doses given; d) date vaccines were given (month and year is acceptable for out-of-state transfer students);
and e) name and location of provider.
No child shall attend a school (PreK - 12) unless a certificate of immunization indicating that the child has received
the immunizations required by G.S. 130A-152 is presented to the school or facility. The parent, guardian, or
responsible person must present a certificate of immunization on the child's first day of attendance to the principal or
designee of the school. If a certificate of immunization is not presented on the first day, the principal shall present a
notice of deficiency to the parent, guardian or responsible person. The parent, guardian or responsible person shall
have 30 calendar days from the first day of attendance to obtain the required immunization for the child. If the
administration of vaccine in a series of doses given at medically approved intervals requires a period in excess of 30
calendar days, additional days upon certification by a physician may be allowed to obtain the required
immunization. Upon termination of 30 calendar days or the extended period, the principal shall not permit the child
to attend the school or facility unless the required immunization has been obtained.
*Tdap IMMUNIZATION REQUIREMENT FOR STUDENTS ENTERING 6 TH GRADE
All individuals attending public school who are entering the 6th grade must have the Tdap vaccine, if five years or
more have passed since the last dose of tetanus/diphtheria toxoid. An official vaccination record must be presented
to the middle school nurse. The NC Immunization Law and the suspension guidelines, as stated above, will be
followed. If your student needs this vaccination, call the local health department or your child’s healthcare provider
for an appointment. Contact the school nurse for more information.
WHEN IMMUNIZATIONS ARE “IN PROCESS”
Children who have begun a series of immunizations, but have not completed the series due to the need to meet
minimum intervals between doses, are considered in process and may attend school.
EXEMPTIONS
There are two exemptions to required immunizations.
1. Medical Exemptions - An exemption is permitted for medical reasons when a physician determines that an
immunization is or may be harmful to a student for a specific reason. Valid medical exemptions must be written
and signed by a physician licensed to practice medicine in North Carolina. The medical exemption must
correspond to those medical contraindications specified in the N.C. Immunization Rules or an approved Rules'
exception approved by the State Health Director. These physician statements must be maintained in the student's
permanent record and at minimum must indicate the following - basis of the exemption; specific vaccine(s) the
child should not receive; and length of time the exemption will apply for the child. Medical Exemption Statement
(DHHS 3987).
27