School Immunizations

Vaccines, also called immunizations, are safe and effective ways to keep Missouri communities healthy. School nurses, administrators and families can learn about key information on school vaccination requirements, reporting forms and student health resources. We provide immunization schedules, back‑to‑school guidance and direct access to the ShowMeVax system. You can also explore the Missouri School Immunizations Dashboard to stay updated on local health data from across the state.

School Requirements

2025 - 2026 School Requirements

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

• English 
• Spanish
• Russian

2026 - 2027 School Requirements

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

• English
• Spanish
• Russian

Immunization Schedules

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

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

How do I submit the required immunization data for my school district?
If you would like to report online you can complete the online report, under School Reporting Information. The first link “Online School Reporting” is the link to report online. Remember to save often as you are entering your data. You can save by going to the bottom of the form and clicking on “Save”. Once you have entered your entire report you will need to scroll to the bottom and click on “Submit”.

If you would like to submit a paper copy you can print the report from the same website under School Reporting Information.

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