Kentucky requires a current Certificate of Immunization Status (CIS) under 702 KAR 1:160 before your child can attend school. Kentucky has a 6th-grade meningococcal requirement (MenACWY) that catches families off guard if records haven't been updated since elementary school. Kentucky also has TB risk-assessment documentation requirements at school entry. Here's what Kentucky requires, how to transfer records, and how to avoid enrollment delays.
Last verified: September 8, 2026
702 KAR 1:160 (Kentucky Administrative Regulations) requires a current Certificate of Immunization Status for school entry. No child may attend without it or an approved exemption.
The 6th-grade checkpoint: Kentucky requires both MenACWY and Tdap at 6th grade entry. If you are moving to Kentucky with a child entering 6th grade, verify these are current before enrollment. Ask your pediatrician to confirm.
TB risk assessment: Kentucky requires documentation of TB risk assessment at Kindergarten entry — this is typically completed at the pediatrician visit and documented in the chart. Confirm with your new Kentucky pediatrician that this is on file.
When you enroll at a new Kentucky school, the receiving school requests records from your former district. Interstate transfers can take several weeks. Kentucky schools vary on start date — many begin in early-to-mid August — which can leave a tight window between moving and the first day. Keep complete copies of all records in your possession.
Source: 702 KAR 1:160; Kentucky Department for Public Health — Immunization Branch, accessed Aug 31, 2026
KYIR (Kentucky Immunization Registry) records doses administered by participating providers across Kentucky. If your child received any vaccines in Kentucky previously, those doses may be in KYIR. Your new Kentucky pediatrician can access KYIR and print your child's record. You can also contact your Kentucky Department for Public Health regional office for a printout.
For doses given in your previous state: Out-of-state records do not automatically transfer to KYIR. Bring a signed immunization record from your former pediatrician. Your new Kentucky provider will enter prior documented doses into KYIR at your child's first visit, then complete the CIS.
(Source: Kentucky Department for Public Health — KYIR, accessed Aug 31, 2026)
Your new Kentucky pediatrician will need your child's complete medical history to continue care. Bring:
Kentucky districts vary on school start date — some begin in early August. Schedule the first pediatrician visit immediately after moving to give the most time to complete the CIS and any missing assessments before enrollment.
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Kentucky recognizes medical and religious exemptions from school immunization requirements under 702 KAR 1:160. For current forms and the official exemption process, contact the Kentucky Department for Public Health.
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