Maine licensed childcare programs — regulated by the Maine DHHS Division of Licensing and Certification — require a physical exam and immunization records before enrollment. Since LD 798 passed in 2019, Maine recognizes only medical exemptions from immunization requirements. Records are tracked through Maine's ImmPact registry. Here's every form and what to expect.
Last verified: September 2, 2026
Maine school and childcare immunization requirements are governed by 22 M.R.S.A. §1064. Licensed childcare programs regulated by Maine DHHS must have current immunization records on file for all enrolled children, consistent with the schedule required for school entry.
Source: Maine CDC — Immunization Program; 22 M.R.S.A. §1064, accessed September 2, 2026
Maine DHHS licensing rules for childcare facilities require a physical examination on file for enrolled children. The exam must be performed by a licensed healthcare provider. Children enrolling for the first time should have a recent physical examination completed before or at the time of enrollment.
The Maine DHHS Division of Licensing and Certification handles childcare facility oversight. Contact your specific facility to confirm their physical exam timing requirements — rules may vary slightly between licensed center-based programs and family childcare homes.
Source: Maine DHHS — Child Care Licensing, accessed September 2, 2026
ImmPact is Maine's statewide immunization information system, managed by the Maine CDC. Maine providers report doses to ImmPact; your child's pediatrician can access ImmPact and print a current immunization history for childcare enrollment.
To get your child's ImmPact record:
Source: Maine CDC — ImmPact Registry, accessed September 2, 2026
Maine summer camps and recreational programs have their own documentation layers:
Source: Maine DHHS — Licensed Facilities, accessed September 2, 2026
Infant immunization records move fast — DTaP, Hib, IPV, PCV, and Hep B doses are all due in the first year. Maine licensed childcare facilities must have current records that reflect the child's most recent well-child visit. An ImmPact-verified printout updated at every pediatrician appointment is the easiest way to stay current.
The MMR and Varicella second doses are typically given between ages 4 and 6. Confirm the Hep A 2-dose series is complete for toddlers — both doses should be on the ImmPact record before childcare enrollment. Physical exam documentation should be current for preschool entry.
Children entering a Maine pre-K or kindergarten program for the first time need a complete immunization certificate and physical exam. Maine's medical-only exemption policy (since LD 798, 2019) means all required vaccines must be on file unless a physician-documented medical exemption applies.
Ask your provider to pull an ImmPact printout. Verify all required vaccines are on file and up to date. Address any missing doses before enrollment — Maine's medical-only exemption policy means the record must be complete.
Bring any camp or program health forms to the appointment. Your provider completes the physical, updates ImmPact, and signs the health documentation in one visit.
Turn in the immunization record and physical exam documentation to your daycare, preschool, or camp before enrollment. Keep copies — you'll need them again for Maine school enrollment.
Since LD 798 (2019), Maine recognizes only medical exemptions from childcare and school immunization requirements under 22 M.R.S.A. §1064. A medical exemption requires a licensed physician's written statement. For official exemption process details, contact the Maine CDC Immunization Program →
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