Whether you're relocating to Manchester, Nashua, Concord, Derry, Dover, Portsmouth, or Keene, getting your children's medical records organized before school enrollment is essential. New Hampshire requires proof of immunization for school entry under RSA 141-C:20-a, and the state's SAU-based enrollment system means every town has its own school administrative unit to contact. Here is exactly what to do, step by step.
Last verified: September 2, 2026
Under federal law (HIPAA Right of Access), your previous providers must release your child's medical records upon written request. Start this process at least 2–4 weeks before your move date.
New Hampshire's immunization records are maintained in the New Hampshire Immunization Registry (NHIR), managed by the NH DHHS Division of Public Health Services. Out-of-state records will not automatically transfer to NHIR — a New Hampshire provider must enter them.
Scheduling a new-patient well-child visit as early as possible is the key step. At your child's first NH appointment, bring all out-of-state immunization records. The NH provider enters dose information into NHIR and can provide a printout for school enrollment.
If you can't get a pediatrician appointment immediately, NH DHHS district offices and federally qualified health centers throughout the state provide immunizations and can assist with NHIR entry. Find your nearest office through the NH DHHS Immunization Program. (Source: NH DHHS Immunization Program, accessed September 2, 2026)
Unlike some states, New Hampshire does not require a specific state-issued immunization certificate. A provider-signed immunization record or a printout from NHIR showing compliance with the NH schedule is accepted for school enrollment. Confirm what your specific SAU's school accepts.
Source: NH DHHS — Immunization Program; RSA 141-C:20-a, accessed September 2, 2026
New Hampshire organizes its public schools into School Administrative Units (SAUs). Each town or group of towns belongs to a specific SAU — and enrollment, health records submission, and school-level policies are all handled through the SAU rather than a county-level district. When you move to NH, your first step is identifying your town's SAU.
Every person gets one health story, and one private Family Stork email address every clinic already knows how to use. When you move to New Hampshire, your child's @familystork address doesn't change — the entire health timeline travels with the family. Your new NH pediatrician sends the first visit summary to the same address, and it files automatically. No lost records. No starting over. $99/year, or about $10 a month.
Tired of managing health records for yourself and everyone you love? Family Stork organizes them for you automatically.
Start your child'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.
Now that you've moved to New Hampshire, here are the school health forms you'll need: New Hampshire school health form checklist →