Hawaii requires documented immunizations for all students — entering childcare, kindergarten, seventh grade, or any Hawaii school for the first time regardless of age. Hawaii also requires an HPV vaccination series for seventh-grade entry, a requirement most mainland states do not have. Here is exactly what Hawaii schools require, how to access records through HiSIS, and what to do if anything is missing.
Last verified: September 1, 2026
Hawaii's HPV requirement surprises many families transferring from the mainland — most states do not require HPV for school entry. If your child hasn't started the HPV series, consult your pediatrician about the catch-up schedule.
HiSIS (Hawaii State Immunization System) is the statewide immunization registry maintained by the Hawaii Department of Health. Most Hawaii healthcare providers report administered vaccines to HiSIS.
Your child's pediatrician can access HiSIS and print an official immunization record at any visit. This is the most common way Hawaii families obtain their records. If doses are missing from the registry (common for vaccines given on the mainland), bring the original records to your provider to update HiSIS.
The Disease Outbreak Control Division can help with immunization records. Call (808) 586-8300 or visit their website.
If you're arriving from the mainland, request your child's official immunization record from your previous state's registry before your move. Out-of-state records don't automatically transfer to HiSIS — your new Hawaii provider will need them to update the system.
Hawaii allows conditional enrollment for children who are behind on immunizations but are actively completing catch-up doses. The school will set a compliance timeline, and the child may be excluded if the schedule is not followed.
Common gaps for Hawaii families:
Hawaii's triple requirement — physical exam, immunizations, and TB clearance — plus the HPV mandate that surprises mainland families. Records scattered across O'ahu, Maui, Kaua'i, and the Big Island, or arriving from military bases across the country. Family Stork keeps your child's entire health story organized in one place.
Give any clinic your child's private @families.familystork.com address. They send vaccine records and visit summaries — the health timeline builds itself. When the school asks for documentation, you open one app and hand over a complete record.
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Hawaii recognizes medical exemptions and religious exemptions from school immunization requirements under HAR §11-157. Medical exemptions require a licensed physician's written statement. Religious exemptions require a signed statement from the parent or guardian. Hawaii does not offer a personal belief or philosophical exemption.
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.
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