Delaware licensed childcare programs — regulated by OCCL (Office of Child Care Licensing) — require immunization records and a physical examination within 30 days of enrollment. Hepatitis A is required in Delaware. Records are tracked through DelVAX, Delaware's immunization registry. Here's every form, who fills it out, and where to get it.
Last verified: September 2, 2026
Delaware school immunization requirements are established under Del. Code Title 14 §131. Licensed childcare programs regulated by OCCL require current immunization documentation for all enrolled children, consistent with the schedule required for school entry.
Hepatitis A is required in Delaware for childcare and school enrollment. Families moving from states where Hep A is not required should confirm the 2-dose series is complete before their child's first day at a Delaware program.
Source: Delaware DHSS — Immunization Requirements; Del. Code Title 14 §131, accessed September 2, 2026
Delaware OCCL childcare licensing requires a physical examination within 30 days of enrollment for children entering licensed childcare programs. The exam must be completed by a licensed healthcare provider and must be documented on file at the facility.
OCCL regulates all licensed childcare centers and family childcare homes in Delaware. Contact your specific program to confirm their preferred format for physical exam documentation — programs vary in whether they use a state-issued form or accept any licensed provider's note.
Source: Delaware OCCL — Office of Child Care Licensing, accessed September 2, 2026
DelVAX is Delaware's statewide immunization information system, managed by the Delaware Division of Public Health. Delaware providers report doses to DelVAX; your child's pediatrician can access DelVAX and print a current immunization record for childcare enrollment.
To get your child's DelVAX record:
Source: Delaware DHSS — Immunization Program (DelVAX), accessed September 2, 2026
Delaware summer camp requirements vary by program type:
Source: Delaware OCCL — Licensed Programs, accessed September 2, 2026
Infants in Delaware licensed childcare need current age-appropriate immunization records on file, updated after each well-child visit. A physical exam within 30 days of starting at the program is required. An up-to-date DelVAX printout is the most reliable documentation.
Hep A first dose is given at 12–23 months; the second dose follows 6 months later. Confirm both are on the DelVAX record. The physical exam requirement (within 30 days of enrollment) applies when transferring between programs at any age.
Children entering Delaware pre-K or licensed preschool need a complete immunization record — including Hep A — and a recent physical exam. Delaware's Early Learning Center programs and OCCL-licensed preschools all require documentation consistent with the school schedule under Del. Code Title 14 §131.
Ask your provider to pull a DelVAX record. Verify all required vaccines are on file — especially Hep A, which is the most commonly missing vaccine for families arriving from states where it isn't required.
Bring all prior immunization records and any program-specific health forms. Your provider updates DelVAX, administers any missing doses, completes the physical, and signs off on any required documentation in one visit.
Turn in the immunization record and physical exam documentation to your daycare or camp before enrollment. Keep copies — you'll need both for Delaware school enrollment in Wilmington, Newark, or Dover.
Delaware childcare immunization requirements follow the same exemption provisions as school entry under Del. Code Title 14 §131. For official exemption types and process, contact the Delaware DHSS Immunization Program →
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