Indiana schools require immunization records to be reviewed by the school nurse before your child can start — and the state mandates Hepatitis A vaccination in two doses, a requirement that surprises many families arriving from states where Hep A isn't on the school entry list. When you're crossing state lines into Indiana, that means gathering records from your old providers, verifying your child's CHIRP registry history, and confirming Form 680 compliance — all while you're still finding the right pediatrician in your new zip code. Here's what Indiana actually requires and how to get ahead of the paperwork.
Last verified: September 8, 2026
Indiana's school immunization requirements are governed by IC 20-34-4-2, which authorizes the Indiana Department of Health to establish the immunization schedule for school-age children. The required documentation at enrollment is Form 680, officially titled the "Certification of Immunization Status." This form must accompany every child enrolling in an Indiana school and must be signed by a licensed healthcare provider or the local health department. Every student new to Indiana schools must have their immunization records reviewed by the school nurse before the child's first day of classes.
Form 680 is specific to Indiana and cannot typically be substituted with a record printout from another state's registry. If your child's previous pediatrician used a different form or a plain office printout, the school nurse in Indiana will review it but may still require Form 680 to be completed by a licensed Indiana provider or your local county health department. Indiana provides a 20-day grace period for families to obtain Form 680 after enrollment, during which the student may attend classes provisionally — but the clock starts on day one of enrollment, so act quickly.
Source: Indiana General Assembly — IC 20-34-4-2, accessed Aug 30, 2026; Indiana Department of Health — Immunization, accessed Aug 30, 2026
Many states do not require Hepatitis A vaccination for school entry. Indiana does — two doses are required for children entering kindergarten and beyond. If your child received their full vaccination series in a state that didn't mandate Hep A, there's a real chance the doses aren't documented or completed. Check your child's immunization record carefully for two dated Hep A doses before your Indiana school nurse review. If you're uncertain, your new Indiana pediatrician can verify status and advise on next steps — this is a records and documentation question, not a medical decision we can make for you.
Indiana's statewide immunization information system is CHIRP — the Children and Hoosiers Immunization Registry Program. Most Indiana healthcare providers and local health departments report vaccine doses to CHIRP, and the school nurse can pull a CHIRP record directly during the Form 680 review process. However, if your child received vaccines in another state before your move, those doses are almost certainly not in CHIRP — interstate immunization registry data sharing is limited, and each state maintains its own independent system.
To get your child's history into CHIRP, your new Indiana provider will enter prior documented doses when they complete your child's first visit. This means the paper immunization record you bring from your former state is the critical handoff document. Ask your previous pediatrician for a signed, dated immunization history on office letterhead before your move — this is what Indiana school nurses and new providers will rely on until CHIRP is updated.
Source: Indiana Department of Health — CHIRP Immunization Registry, accessed Aug 30, 2026
Indiana requires additional boosters at 6th grade entry: MenACWY (meningococcal conjugate) and Tdap (tetanus, diphtheria, acellular pertussis). If you're moving with a rising 6th grader, verify these two doses are on the record before enrollment. If they're missing, your new pediatrician can advise on scheduling — the 20-day grace period still applies while records are assembled.
When you establish care with a new Indiana pediatrician, bring:
Unlike some neighboring states, Indiana does not have a statewide mandate requiring a physical exam for school enrollment at every grade level. The required document is Form 680, which focuses on immunization certification, not a comprehensive health exam. However — and this is where many families are caught off guard — a significant number of Indiana school districts and individual schools do request a physical exam, particularly for kindergarten entry and for students new to the district.
Check directly with your child's new Indiana school about their specific policies. Some districts will request a current sports physical or well-child exam on file even if the state doesn't formally mandate it. If your child had a well-child visit in the 12 months before your move, bring that documentation — it may satisfy district-level requests and give your new pediatrician a useful starting point when they conduct Indiana's first visit.
Source: Indiana Department of Health — School Immunization Requirements, accessed Aug 30, 2026; Indiana General Assembly — IC 20-34-4-2, accessed Aug 30, 2026
If your child participates in Indiana Interscholastic Athletic Association (IHSAA) sports, a physical exam is required separately through the IHSAA pre-participation form. This is distinct from school enrollment and has its own timeline. Ask your child's new school athletic director for the current IHSAA form at enrollment — your new pediatrician will need to complete it before your child can practice or compete.
Request a complete signed immunization history from your current pediatrician — on office letterhead, dated, with all doses listed. Confirm Hepatitis A status: two dated doses must be documented. Also request prior well-child visit summaries, specialist notes, and any active care plans. Gather records from your dentist and eye doctor if your child had recent screenings. Do this before your move — requesting records across state lines takes longer than you expect.
Enroll your child in the new Indiana school and present whatever records you've gathered. If Form 680 isn't ready yet, ask the school secretary explicitly about Indiana's 20-day provisional attendance window — most Indiana schools will allow attendance to begin while Form 680 is being completed. Confirm in writing what's needed and the exact deadline. Get the blank Form 680 from the school office to bring to your first pediatrician appointment.
Your new Indiana provider will review your paper immunization records, enter doses into CHIRP, confirm any missing doses (especially Hep A and 6th grade boosters if applicable), and complete Form 680. Schedule this appointment as early as possible — new-patient slots often book out several weeks, and Form 680 is what closes the enrollment loop. Bring the blank form the school gave you so the provider can complete it in the same visit.
Every person gets one health story, and one private Family Stork email address every clinic already knows how to use. When you're moving to Indiana, your previous pediatrician sends the visit summary and signed immunization history, your former specialists send their records, and your new Indiana provider begins filing from the very first appointment — all to the same address, building one organized timeline that follows your family, not your zip code.
Instead of requesting records in two states, chasing fax confirmations, and losing track of which portal belongs to which provider, Family Stork keeps everything in one place. No new tools for your providers to learn, no uploads from you, no logins to manage across systems. When your school nurse asks for documentation, you already have it. When your new Indiana pediatrician asks what vaccines are on record, you can show them — on your phone, in the waiting room.
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