Arizona Immunization Program

School & Childcare Center Requirements and Forms

Immunization Related Forms for Schools and Childcare Centers

  • Arizona Guide to School and Childcare Immunization Requirements (revised July 2014)
  • Immunization Exemption Forms
    Please begin to use these new exemption forms immediately:
    • Medical Exemption Form: English | Español
      Must be completed by the child's physician or nurse practitioner.
    • Religious Beliefs Exemption Form: English | Español
      Must be completed by the parent or guardian of a child attending childcare or preschool programs. The initials of the parent/guardian and the date are required next to each vaccine preventable disease description, in addition to the signature and date at the bottom of the form.
    • Personal Beliefs Exemption Form: English | Español
      Must be completed by the parent or guardian of a student attending Kindergarten through 12th grade. Personal Beliefs exemptions are not applicable in childcare or preschool programs. The initials of the parent/guardian and the date are required next to each vaccine preventable disease description, in addition to the signature and date at the bottom of the form.

Immunization Information and Forms for Childcare Centers, Pre-school and Head Start

School Immunization Requirements and Resources for Kindergarten through 12th Grade