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The Massachusetts Department of Public Health (105 CMR 200.00 and 220.00) specifies minimum immunization and physical examination requirements before admission to school.  

Immunizations

A copy of a current, up-to-date immunization record is required.
(Reference: MA DPH School Immunization Requirements)  

Preschool

• 3 doses Hep B
• 4 doses DTaP
• 3 doses Polio
• 1-4 doses Hib
• 1 dose MMR
• 1 dose Varicella (or reliable history of varicella) 
• Lead test

Kindergarten

• 3 doses Hep B
• 5 doses DTaP*
• 3-4 doses Polio**
• 2 doses MMR
• 2 doses Varicella (or reliable history of varicella)
• Lead test

Grades 1-6

• 3 doses Hep B
• 5 doses DTaP*
• 3-4 doses Polio**
• 2 doses MMR
• 2 doses Varicella (or reliable history of varicella) 

Grades 7-12

• Grade 7: 1 dose MenACWY
• Grade 11: 2 doses MenACWY***
• 1 dose Tdap
• 3 doses Hep B
• 5 doses DTaP*                           
• 3-4 doses Polio**
• 2 doses MMR
• 2 doses Varicella (or reliable history of varicella)

*DTaP: 4 doses are acceptable if the 4th dose is given on or after 4th birthday
**Polio: 3rd or 4th dose must be given on or after 4th birthday
***MenACWY: 2nd dose must be given on or after 16th birthday 

Exemptions: (must be renewed annually)
Religious: A signed parent/guardian statement that immunization(s) conflict(s) with religious beliefs.
Medical: A signed physician statement that immunizations are waived for medical reasons.
Homeless students: nurses will work on compliance with parents/guardians. 

Physical Exams

A copy of a physical exam completed in the United States is required and must be within one year prior to entrance to school. Health records transferred from a student's previous school may be used to determine compliance with this requirement.

Tuberculosis (TB) Testing Requirements

TB testing is required for school entry for: 

• Students who were born in a high risk country* and do not have a documented test performed in the US.
• Students who have had contact with person(s) suspected to have tuberculosis. 
• All students (newly enrolled and currently registered) who have spent more than 4 calendar weeks in a high-risk country*. 
• NOTE: Students who have had a BCG vaccine in the past must have a QuantiFERON blood test prior to entry (Mantoux and/or chest x-ray alone will not be accepted for these students).

If a TB test is positive, students are required to have a chest x-ray (CXR) and consult with the physician regarding treatment. Written clearance from their physician is required to enter school. 

 *high risk country list: www.stoptb.org/countries/tbdata.asp