Ohio has clear school enrollment requirements for immunizations and health screenings, but pulling together the right paperwork from across state lines takes advance planning. Here's exactly what Ohio requires, how to access the state's immunization registry, and how to keep every record in order from moving day through that first week of school.
Last verified: September 7, 2026
Ohio Revised Code §3313.67 is the primary statute governing school immunization requirements in Ohio. It requires that every student enrolling in an Ohio school present proof of immunization against diseases specified by the Ohio Department of Health — or a valid medical or nonmedical exemption. Schools may not unconditionally admit a student who doesn't meet the immunization requirement. Ohio also requires specific health screenings — vision, hearing, and growth assessment — at designated grade levels.
Ohio does not use a single mandatory state physical exam form like some other states, but your child's new Ohio school will need documentation of required immunizations and may request prior health screening records. When you enroll, the new school is required to request cumulative records from your previous school. Keep certified copies of all health records with you — it protects your child from being placed in provisional status while inter-school transfers are in process.
Source: Ohio Revised Code §3313.67 — Ohio Legislature, accessed Aug 27, 2026; Ohio Department of Education — Immunizations, accessed Aug 27, 2026
Ohio's statewide immunization information system is Impact SIIS (Ohio's State Immunization Information System). Ohio healthcare providers report vaccine doses to Impact SIIS, and an official immunization history can be requested through the Ohio Department of Health or through a participating provider. Parents can also contact their local health district to obtain a printout of doses recorded in Impact SIIS.
Doses administered before moving to Ohio will not be in Impact SIIS unless your previous state shared data with Ohio's registry — which is uncommon. This makes your paper records critical. Before your move, request a dated, signed immunization history from your child's current pediatrician. Ohio schools and health professionals will use this documentation to verify prior doses, and a new Ohio provider can then add those doses to Impact SIIS going forward.
Source: Ohio Department of Health — Impact SIIS, accessed Aug 27, 2026
Ohio's school immunization requirements include DTaP, polio, MMR, varicella, Hepatitis B, and Hepatitis A (for kindergarteners), among others depending on grade level. The Ohio Department of Health publishes an annual school immunization requirements chart that specifies exactly which doses are needed at each grade level — your new Ohio pediatrician or local health district can provide this. Always verify current requirements with your child's doctor, as schedules are updated periodically.
Source: Ohio Department of Health — School Immunization Requirements, accessed Aug 27, 2026
When establishing care with a new Ohio pediatrician, bring:
Ohio requires vision and hearing screenings for students at entry and at specific grade levels. Growth assessments (height and weight) are also conducted at entry grades. These screenings are typically administered by the school nurse — you don't need to bring a separate form for these. However, if your child has documented vision or hearing concerns from a prior provider, bring that documentation so Ohio school health staff are informed from day one.
Ohio does not mandate a physician-completed physical exam form for all incoming students (unlike some states), but some Ohio school districts may request evidence of a recent well-child exam. Check with your specific district's enrollment office about their local requirements. If your child had a well-child exam within the past year, bring a copy of the visit summary just in case.
Source: Ohio Department of Health — School Health, accessed Aug 27, 2026; Ohio Department of Education — Student Health, accessed Aug 27, 2026
Ask your child's current pediatrician for a complete, signed immunization history and a well-child visit summary. Request similar documentation from any specialists, dentist, and eye doctor. Gather everything in a single folder — physical copies and digital scans both.
Bring your immunization record to enrollment. Ask the school office what health documents they need beyond immunizations. If your records are incomplete, ask about Ohio's provisional enrollment options under ORC §3313.67 — Ohio schools may enroll conditionally while immunization records are being completed.
Schedule a new-patient appointment with an Ohio pediatrician as early as possible. They will review your child's prior records, enter any previously administered doses into Impact SIIS, and ensure your child's immunization status meets Ohio's current school requirements. This visit is also the right time to address any outstanding health screenings.
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