Massachusetts daycare and childcare programs are licensed by the Department of Early Education and Care (EEC) under 606 CMR 7.09. Immunization requirements for EEC-licensed programs mirror the school immunization standards under 105 CMR 220.000 — meaning the same vaccines your school needs, your daycare needs too. Here is every requirement, every official source, and where to find the records.
Last verified: September 8, 2026
Massachusetts EEC-licensed programs — childcare centers, family childcare homes, and preschools — must maintain current immunization documentation for every enrolled child under 606 CMR 7.09. Immunization records must be on file from the first day of attendance.
Required vaccines for Massachusetts childcare enrollment (age-appropriate):
EEC licensing regulations under 606 CMR 7.09 require licensed programs to maintain a health record form for every enrolled child. This form — sometimes called an enrollment health form or child health care plan — must document:
The health record form must be updated whenever significant health changes occur, or at least annually. Your child's daycare provides their own version of this form — it is distinct from the immunization documentation.
(Source: Massachusetts EEC — 606 CMR 7.09, accessed Aug 30, 2026)
Camp health requirements in Massachusetts depend on the camp's licensing status:
For overnight camps, request the health packet 4–6 weeks before the session starts. Most Massachusetts overnight camps require forms 2–4 weeks in advance.
(Source: Massachusetts Department of Public Health; 606 CMR 7.09, accessed Aug 30, 2026)
Before any medical appointments, contact your daycare or camp and get the exact list of forms they require. Some accept a MIIS printout; others want a provider-signed letter. Knowing first prevents a second trip to the doctor.
Ask your pediatrician to pull the MIIS record at the same visit where the health forms will be completed. Bring the center's enrollment health form so your provider can fill in allergy, medication, and health condition sections.
Deliver completed forms to the daycare or camp before the first day. Keep copies — the MIIS printout is the same record your school will need in September.
Massachusetts families filling out EEC health forms, MIIS records, and camp intake packets are pulling from the same underlying health record every time — but gathering it from different providers and portals is exhausting. Family Stork keeps everything in one organized timeline.
Give any Massachusetts clinic your child's private @families.familystork.com address. Pediatricians and specialists send records; the timeline builds itself. $99/year, or about $10/month. Start your child's record free →
Massachusetts childcare immunization exemptions parallel school exemptions under M.G.L. c.76, §15. Medical exemptions require documentation from a licensed physician. Religious exemptions require a written statement from the parent. For exemption forms and the official childcare exemption process, contact the Massachusetts Department of Public Health or your EEC-licensed center.
Give any Massachusetts clinic your child's private @familystork address. They send records; the timeline builds itself. Daycare forms, camp packets, school enrollment — all from one organized record.
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