Schools

This page outlines the mandatory immunization requirements, reporting forms, and legal statutes for students attending schools in Missouri for the 2025-2027 academic years. It provides essential resources for parents and administrators, including medical and religious exemption forms, tracking tools, and links to vaccination schedules.

School Requirements

• 2025 - 2026 School Requirements

  • English 
  • Spanish
  • Russian

  Required immunizations for students enrolled in and attending schools in Missouri.

• 2026 - 2027 School Requirements

  • English
  • Spanish
  • Russian

  Required immunizations for students enrolled in and attending schools in Missouri.

School Reporting Information

• Online School Reporting
  Link to complete and submit the annual summary report
  For the best experience with the online reporting, you must use Microsoft Internet Explorer 7.0 or greater
• 2025 - 2026 Survey Packet
  Packet containing materials needed for completion of the annual Summary Report of Immunization Status of Missouri Public, Private, Parochial and Parish School Children.
• 2025 - 2026 Survey Form-CD-31
  Standardized form used to report immunization status of Missouri Public, Private, Parochial and Parish school children.
• Report of Students in Noncompliance Tool
  A tool created to help track students in noncompliance with the Missouri School Immunization Law.

Missouri Statutes

• Immunization of School Children 167.181
• Contagious Diseases Excluded from School 167.191

Code of State Regulations

• Immunization Requirements for School Children 19 CSR 20-28.010
  • Missouri School Immunization Requirements Vaccines Received 0-18 Years of Age
  • Medical Immunization Exemption (Imm.P.12)
    • English
    • Spanish
    • Russian
  • Religious Immunization Exemption (Imm.P11A)
    • English
    • Spanish
    • Russian
  • Immunizations in Progress (Imm.P.14)
    • English
    • Spanish
    • Russian
• Exclusion from School and Readmission 19 CSR 20-20.03

Tools & Resources

• Parent/Guardian Sample Letter
  This sample letter is a tool that can be used to notify parents/guardians of missing immunizations or incomplete immunization records.
• Student In Progress Tracking Tool
  A tool created to help track students that are in progress.
• Students with Exemptions Tracking Tool
  A tool created to help track students that have an immunization exemption on file.
• Immunization Schedules
  • Vaccine Schedules for You and Your Family
• Epidemiology and Prevention of Vaccine-Preventable Diseases, 13th Edition (Pink Book)
  The Pink Book provides physicians, nurses, nurse practitioners, physician assistants, pharmacists, and others with the most comprehensive information on vaccine-preventable diseases.
• Exemptions: What Medical Providers Need to Know - FAQ
  Frequently Asked Questions document on the exemption types and forms required for the School Immunization Rule.
• Vaccines for Children – Information for Parents
  A fact sheet on the Vaccines for Children program and eligibility criteria

Immunization Schedules

• Birth to 18 Years
• 19 and Older
• Catch Up Schedule, 4 months to 18 Years

School Requirements

Find information on Missouri’s immunization requirements for school attendance. Learn more >>

Child Care Requirements

Find information on Missouri’s immunization requirements for child care/preschool enrollment. Learn more >>