Health Requirements for School Entry

School Entry Health Documentation Requirements – 2024-2025 School Year

Arlington Public Schools (APS) and the State of Virginia require students entering school for the first time to provide the following health documentation:

  1.  Physical Examination form: A physical exam (completed no earlier than one year prior to school entry) conducted by a licensed U.S. healthcare provider is required for all new students entering preschool through 5th grade. Additionally, a new physical exam is required for ALL kindergarten students, even if the student previously provided one upon entry into an APS preschool program.
  2. Tuberculosis Screening: Documentation of a negative TB risk assessment OR the results of a TB screening (skin or blood) test completed no
    earlier than one year prior to school entry is required for all new APS students. If the TB screening test is positive, a symptoms assessment is required prior to entry and a chest x-ray is required within 21 days after starting school. Students previously registered in APS as preschoolers must have a negative TB risk assessment or TB blood or skin test completed no earlier than one year prior to the first day of kindergarten.
  3. Immunizations:
    There are numerous immunizations required for school entry. General vaccination requirements are below. For more details about these requirements, refer to the VDH website.
    a. Diphtheria, Tetanus, & Pertussis (DTaP, DTP, or Tdap): a minimum of 4 DTP/DTaP (Diphtheria /Tetanus/Pertussis) with one on/after the 4th birthday OR 3 Tds (Tetanus/ Diphtheria) if 7 years or older. A Tdap booster is required for all students who are entering the 7th grade or above.
    b. Polio Vaccine: a minimum of 3 doses. One dose must be administered on or after the fourth birthday.
    c. Hepatitis A Vaccine: for the 2024-25 school year, a minimum of 2 doses of Hepatitis A vaccine is required for all kindergarten, 1st, 2nd, and 3rd grade students ONLY. The first dose must be administered at 12 months or older.
    d. Hepatitis B Vaccine: a complete series of 3 doses of hepatitis B vaccine is required for all students. Note - the FDA has approved a 2-dose schedule ONLY for adolescents 11-15 years of age AND ONLY when the Merck Brand (RECOMBIVAX HB) Adult Formulation Hepatitis B Vaccine is used. If the 2-dose schedule is used for adolescents 11-15 years of age, it must be clearly documented on the school form.
    e. Varicella (Chickenpox) Vaccine: a minimum of 2 doses. The first dose must be administered at age 12 months or older and the second dose prior to kindergarten.
    f. Measles, Mumps, & Rubella (MMR) Vaccine: a minimum of 2 doses. Most students receive the combination MMR vaccine – however, if the vaccines are administered individually, a minimum of 2 measles, 2 mumps, and 1 rubella are required. The first dose for each component (or for the combined MMR vaccine) must be administered at age 12 months or older and the second dose prior to kindergarten.
    g. Human Papillomavirus Vaccine (HPV): a complete series of 2 doses of HPV vaccine is required for students entering the 7th grade. The first dose shall be administered before the child enters the 7th grade. After reviewing educational materials approved by the Board of Health, the parent or guardian, at the parent's or guardian's sole discretion, may elect for the child not to receive the HPV vaccine.
    h. Meningococcal Conjugate (MenACWY) Vaccine: effective July 1, 2021, a minimum of 2 doses. The first dose is required for all students entering 7th, 8th, 9th, or 10th grades. Additionally, a dose administered on/after the 16th birthday is required for all students entering 12th grade.
    i. Haemophilus Influenzae Type b (Hib) Vaccine: this vaccine is required ONLY for pre-K students less than 60 months of age. Number of doses required depends upon the age when first dose is received.
    j. Pneumococcal (PCV) Vaccine: this vaccine is required ONLY for pre-K students less than 60 months of age. One to four doses, depending on age at first dose, required.
    To obtain the health entry forms, refer to the APS website, or check with your school’s registrar or clinic staff.

Below are documents listing the updated school health entry requirements for the current school year.