Policy 502.06

Evidence of Immunization

Prior to enrollment, each student shall provide a written immunization history, signed by the student’s physician, parent, or guardian, verifying that the student has received the required vaccines so as to be protected by immunization against measles, mumps, rubella, polio, hepatitis B, diphtheria, tetanus, pertussis, and haemophilus influenza type B (Hib) and chicken pox (varicella). Any student who does not comply shall not be permitted to enter school, or if provisionally enrolled or enrolled without compliance, shall not be permitted to continue in school, until evidence of compliance or an exemption from compliance is given. Immunization will not be required for a student’s enrollment if the student submits one of the following:

(A) A statement signed by a physician, physician assistant, or nurse practitioner that, in the health care provider’s opinion, the immunizations required would be injurious to the health and well being of the student or any member of the student’s family or household.

(B) An affidavit signed by the student, or if the student is a minor, by a legally authorized representative of the student, stating that the immunization conflicts with the tenets and practice of a recognized religious denomination of which the student is an adherent or member, or that immunization conflicts with the personal and sincerely followed religious beliefs of the student.

(C) Documentation from the student’s immunization provider showing that the student has begun the required immunizations and has scheduled dates to complete the immunization series as rapidly as is medically feasible. This documentation will permit provisional enrollment only. The student will be excluded from school if the necessary immunizations are not completed as rapidly as medically feasible, until either documentation of immunization or proof of an exemption is provided.

(D) Evidence of immunity against the diseases. Laboratory evidence of circulating antibodies for measles, mumps or rubella is required to show evidence of immunity against those diseases. Information concerning the laboratory test, including the signature of the laboratory technician or laboratory director, must be provided. Clinical history is not sufficient evidence of immunity.

The cost of immunizations and any required documentation shall be borne by the parent or guardian, not school. In event of an outbreak of a communicable disease, unimmunized students may be excluded from school.

The superintendent/designee shall annually file the required report on behalf of the Board by November 15 to the Department of Health and Human Services summarizing the immunization status of the district’s students.

Legal Reference:
79-217-23, 79-248, 79-264 and Title 173, Nebr. Admin Code, Ch. 3

Adopted: October 11, 1999
Revised: July 12, 2004.
Revised: April 10, 2006