Hawai'i · Daycare, Preschool & Camp

Hawaii daycare and camp health forms:
what you need before enrollment.

Hawaii requires childcare and preschool programs to verify a physical exam, immunization records, and tuberculosis clearance for every enrolled child under Hawaii Administrative Rules §11-157. Camp programs have additional requirements. Here is what's needed, where to get it, and the timeline.

Last verified: September 1, 2026

Required Documents

1. Immunization records for childcare and preschool

Under HAR §11-157, licensed childcare facilities and preschools must have current immunization records on file for each child. The childcare immunization schedule includes age-appropriate doses of:

DTaP — age-appropriate doses per the CDC schedule
Hepatitis A (Hep A) — 2 doses (first dose at 12 months)
Hepatitis B (Hep B) — 3 doses (series begins at birth)
Hib (Haemophilus influenzae type b) — age-appropriate doses
MMR — first dose at 12 months
Pneumococcal Conjugate Vaccine (PCV) — age-appropriate doses
Polio (IPV) — age-appropriate doses
Varicella — first dose at 12 months

Verify in HiSIS: Ask your child's pediatrician to check HiSIS (Hawaii State Immunization System) for completeness. Hawaii providers report administered vaccines to HiSIS. (Source: Hawaii DOH — School Health Requirements; HAR §11-157, accessed Sept 1, 2026)

2. Physical exam and TB clearance

Hawaii stands apart from most states: childcare and preschool enrollment requires both a physical examination and tuberculosis clearance, completed within one year before the first date of attendance.

Physical exam: Must be performed by a U.S.-licensed physician, APRN, or PA and documented on the Hawaii DOH Student Health Record form (Form 14)
TB clearance: A TB skin test (TST/Mantoux) or IGRA blood test. If positive, a chest X-ray and physician evaluation are required

Military families and mainland transfers: If your child had a recent physical on the mainland, confirm it was documented on Form 14 or an equivalent the facility will accept. TB clearance from out of state is generally accepted if within the one-year window. (Source: HAR §11-157; Hawaii DOH TB Control Branch, accessed Sept 1, 2026)

3. Health history and emergency information

Hawaii childcare licensing requires each enrolled child to have health and emergency documentation on file:

Known allergies (food, medication, environmental) and allergy action plans
Chronic conditions requiring attention (asthma, seizures, diabetes)
Current medications with dosing instructions and physician authorization
Emergency contacts (at least two, separate from parent/guardian)
Physician's name, phone number, and preferred hospital
Authorization for emergency medical treatment

The childcare center provides their specific enrollment health form. Complete it before the first day — Hawaii centers cannot enroll a child without health documentation on file.

4. Day camp and residential camp requirements

Hawaii summer camps — from O'ahu's North Shore to Maui and the Big Island — follow health documentation requirements set by the facility and the American Camp Association (for ACA-accredited programs). Typical requirements include:

A health history form completed by the parent
A physician-signed physical exam (most camps require within the prior 12 months)
Current immunization records
TB clearance — many Hawaii camps require this given the state mandate
Allergy and medication action plans with authorization forms
Emergency treatment consent signed by the parent

Contact your camp's health director for specific forms and deadlines. Most Hawaii camps begin collecting health documentation 30–60 days before the session.

Family Stork

Every person gets one health story, and one private Family Stork email address every clinic already knows how to use.

Hawaii parents managing daycare enrollment, camp physicals, TB clearance, and immunization records across Honolulu, Maui, or the Big Island know how quickly paperwork scatters. Family Stork keeps everything in one timeline.

Give any Hawaii clinic your child's private @families.familystork.com address. They send vaccine records and visit summaries — the health timeline builds itself. When the daycare or camp asks for documentation, the complete record is already organized.

$99/year, or about $10/month. Start your child's record free →

One health story. One email address every clinic already knows how to use.

Give any Hawaii clinic your child's private @familystork address. They send records; the timeline builds itself. No portal logins, no uploads, nothing for the clinic to learn.

Start your child's record — free

More resources:

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Hawaii daycare and camp health forms:what you need before enrollment.

1. Immunization records for childcare and preschool

2. Physical exam and TB clearance

3. Health history and emergency information

4. Day camp and residential camp requirements

Every person gets one health story, and one private Family Stork email address every clinic already knows how to use.

One health story. One email address every clinic already knows how to use.

More Hawaii guides for parents

Hawaii daycare and camp health forms:
what you need before enrollment.