Maryland requires a completed Certificate of Immunization (MCH 1140) under COMAR 10.06.04 before your child can attend school. Maryland also requires Hepatitis A vaccination for kindergarten entry — a requirement not all states share, which catches many families moving in from out of state. Here's what Maryland requires, how to get those records, and how to make the whole handoff work from the first week.
Last verified: September 8, 2026
COMAR 10.06.04 requires documented proof of immunization for school entry. The official form is the Certificate of Immunization (MCH 1140), completed and signed by a licensed healthcare provider.
When you enroll at a new Maryland school, the receiving school requests records from your former district. Interstate transfers can take weeks. Keep complete copies of everything — immunization records, physical exam results, specialist documentation. Maryland schools may grant provisional enrollment while records are in transit, but the MCH 1140 is the key document that must be completed promptly.
Source: Maryland Department of Health — School Immunization Requirements; COMAR 10.06.04, accessed Aug 31, 2026
ImmuNet is Maryland's immunization information system. If your child received any vaccines in Maryland previously, those doses may be in ImmuNet. Your new Maryland pediatrician can access ImmuNet directly and print your child's record. You can also contact your local Maryland health department to request a registry record.
For doses given in your previous state, bring a signed immunization record from your former pediatrician. Out-of-state records do not automatically transfer to ImmuNet. Your new Maryland provider will enter prior documented doses into ImmuNet at your child's first visit.
Maryland required vaccines (COMAR 10.06.04):
Source: Maryland Department of Health — School Immunization Requirements; COMAR 10.06.04, accessed Aug 31, 2026
Maryland requires two doses of Hepatitis A for kindergarten entry. The two doses must be spaced at least 6 months apart. If you're moving to Maryland with a child entering kindergarten who hasn't started the Hep A series, plan ahead — there is no way to compress the 6-month interval. Check your child's immunization history 7–8 months before the school year starts if possible.
When you establish care with a new Maryland pediatrician, bring:
Your new Maryland provider will enter out-of-state vaccine doses into ImmuNet, complete the MCH 1140, and handle any Maryland-specific requirements like the Hepatitis A doses. Schedule this appointment as soon as possible after your move.
The MCH 1140 is Maryland's official immunization certificate. It lists every required vaccine with dates administered, signed by a healthcare provider. You can download blank MCH 1140 forms from the Maryland Department of Health website.
If you already have a signed immunization record from your former state, your new Maryland provider can use that documentation to complete the MCH 1140 form. Keep a copy of the completed MCH 1140 — you'll need it for future enrollments, school transfers, and childcare registration.
Source: Maryland Department of Health — School Immunization Requirements; COMAR 10.06.04, accessed Aug 31, 2026
Request complete medical records from every provider — pediatrician, specialists, dentist. Ask for a signed immunization history listing every vaccine and date. Check your current state's immunization registry for a printout. If your child is entering kindergarten, verify the Hepatitis A series is complete (two doses, 6 months apart).
Enroll in the new school — they'll request records from your former district. Bring whatever immunization documentation and health records you have. Ask about provisional enrollment if the MCH 1140 isn't ready yet.
Your new Maryland pediatrician will enter doses into ImmuNet, complete the MCH 1140 certificate, and handle any Maryland-specific requirements. If your child needs catch-up Hepatitis A doses, start immediately. Schedule for week one — Maryland pediatricians book fast during back-to-school season.
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 Maryland, that means your old pediatrician sends the visit summary, your specialist sends the referral notes, and your new Maryland pediatrician starts sending records from the first appointment — all to the same address, filing automatically on the same timeline.
Tired of managing health records for yourself and everyone you love? Family Stork organizes them for you automatically — no portal logins, no uploads, nothing for any clinic to learn.
Your Maryland move is the perfect moment to start a complete family health timeline. $99/year, or about $10/month.
Start your family's record — freeMore resources:
Juggling logins across multiple hospital portals? See how Family Stork compares to MyChart — one email address vs. a different portal for every clinic.
Keep your family's entire health story in one place: family health timeline software — from first heartbeat and beyond.