Alameda County Public Health Department Immunization Program is dedicated to ensuring students stay healthy. We provide resources and trainings for all child care facilities and schools in Alameda County to help promote vaccinations.
Start Here: 4 steps for enrollment record review
- Confirm required vaccines by grade
Use the official California requirements for TK–12 (CDPH). - Review the student’s documentation
Check vaccine doses, dates, and exemptions. - Take the next step
Admit, conditionally admit, follow up, or exclude based on California rules. - Document and report
Document the review on the Blue Card (CDPH) and complete required annual immunization assessment reporting (CDPH).
Training for School Staff (CDPH)
Training for Child Care Staff (CDPH)
Parents and schools have options to access records
Many parents can access their child’s digital vaccine record:
My Digital Vaccine Record (CDPH)
Schools and child-care staff may also use the School and Child Care Roster Lookup (SCRL). Records from other states and countries are often acceptable.
School and Child Care Roster Lookup (CDPH)
What to do when a student is missing doses
If the record is incomplete or missing doses
Use California’s rules for conditional admission, follow-up timelines, and exclusion. Schools should document what was received and what is still needed.
Recommended workflow
- Step 1: Identify what’s missing (by grade requirement)
- Step 2: Determine if conditional admission applies
- Step 3: Set a follow-up date and document outreach
- Step 4: Exclude if deadlines are missed and exclusion applies
Conditional admission vs. exclusion decision tree (CDPH)
FAQ: Requirements for conditional admission (CDPH)
California Immunization Handbook for Schools (CDPH)
Implementation Tools and Guides (CDPH)
Medical Exemptions
Only medical exemptions for TK–12 and child care issued electronically through the California Immunization Registry – Medical Exemption (CAIR-ME) system by a physician licensed in California are considered valid.
Key points for schools
- Medical exemptions are submitted by licensed California clinicians through CAIR-ME.
- Schools should rely on valid documentation and follow state guidance for verification and recordkeeping.
- If a parent brings documentation that does not meet state requirements, use the state guidance and contact ACPHD if needed.
CA Immunization Registry Medical Exemption (CAIR-ME) web site
Resources and FAQs about exemptions (CDPH)
Free immunization materials for schools
Order from ACPHD (free), and have materials mailed to you
We provide materials at no cost, including:
- Blue Cards
- Tdap stickers
- Immunization flyers and handouts
- Template Letters to Parents
- Other requests related to vaccines
Order free materials from ACPHD
Contact us for help
Need help with a record review, a tricky situation, or strategies to assist your student/child population?
If you have a student record you can’t interpret, are unsure about conditional admission, or need help in any way: