Montana school immunization requirements are set under Mont. Code Ann. §20-5-405, administered by the Montana Department of Public Health and Human Services (DPHHS). Montana also requires a physical examination before kindergarten entry. Whether your child is starting kindergarten in Billings, entering 7th grade in Missoula, or transferring to a Bozeman school, here is every required form and where to get records.
Last verified: September 2, 2026
Under Mont. Code Ann. §20-5-405, no child may be admitted to a Montana school without a certificate of immunization issued by a licensed healthcare provider or verified through the Montana Immunization Information System (MTSIIS). The certificate must reflect age-appropriate immunizations or an approved exemption.
Physical examination required: Montana requires a completed physical examination form before kindergarten enrollment. Have your child's pediatrician complete the form (typically provided by the school district) well before the start of school. Schedule the kindergarten physical in early summer to avoid August scheduling crunches in Billings, Missoula, and Great Falls.
Source: Montana DPHHS — School and Childcare Immunization Requirements; Mont. Code Ann. §20-5-405, accessed Sep 2, 2026
The Montana Immunization Information System (MTSIIS), managed by Montana DPHHS, tracks immunization records for children vaccinated in Montana. Your child's healthcare provider can access MTSIIS and print a current immunization history for school enrollment.
To get your child's Montana immunization record:
Source: Montana DPHHS — Immunization Program (MTSIIS), accessed Sep 2, 2026
Full immunization certificate plus a completed physical examination form required before the first day. Billings School District (SD 2) and Missoula County Public Schools require both documents at enrollment. Schedule the kindergarten physical in spring or early summer — pediatrician appointment availability shrinks quickly in late summer.
Tdap booster and first dose of MenACWY required. Schedule these in spring to have the updated MTSIIS record ready before fall enrollment in Billings, Missoula, Great Falls, Bozeman, or Butte school districts.
Out-of-state transfers must meet Montana's requirements. Bring all prior vaccination records to the first Montana provider appointment. The physical examination is also required for kindergarten entry regardless of when the family moved.
Verify current enrollment requirements at each district's website before your appointment.
Every person gets one health story, and one private Family Stork email address every clinic already knows how to use. Tired of managing health records for yourself and everyone you love? Family Stork organizes them automatically — so when Billings SD asks for the physical exam form and immunization certificate, both are already in your timeline.
Start your family's timeline →$99/year · or about $10/month · From your first heartbeat and beyond.
Montana allows two types of exemptions from school immunization requirements under Mont. Code Ann. §20-5-405:
For the official exemption process and required documentation, contact the Montana DPHHS Immunization Program or your child's school.
Juggling logins across multiple hospital portals? See how Family Stork compares to MyChart — one email address vs. a different portal for every clinic.
Looking for a single place to keep your family's entire health story? Family health timeline software — from first heartbeat and beyond.
Exploring alternatives to juggling multiple portals? Best MyChart alternatives for families.