Virginia requires a completed MCH 213G school entrance health form and proof of immunization per Code of Virginia §32.1-46 before your child can attend school. Here's what Virginia requires, how to get those records, and how to make the whole handoff work from the first week.
Last verified: September 8, 2026
Code of Virginia §32.1-46 requires documented proof of immunization for school entry. Virginia also requires a comprehensive health examination documented on the MCH 213G (Commonwealth of Virginia School Entrance Health Form). If records are incomplete at enrollment, Virginia generally allows provisional enrollment while families work to obtain documentation.
Virginia law (Code of Virginia §22.1-289) requires school divisions to transfer student records upon request from the receiving school. When you enroll at a new Virginia school, they'll initiate the transfer. Keep copies of everything — interstate transfers may take longer than in-state, and your own copies prevent enrollment delays.
Source: Code of Virginia §22.1-289 — Scholastic records, accessed August 29, 2026
VIIS (Virginia Immunization Information System) is Virginia's statewide immunization registry. If your child received any vaccines in Virginia previously, those doses are in VIIS. Your new Virginia pediatrician can access VIIS directly and print your child's record. You can also contact your local health department for a printout.
For doses given in your previous state, bring a signed immunization record from your former pediatrician. Virginia schools accept a physician's signed record while you work with your new provider to complete the MCH 213G. Your former state's immunization registry may also have records — request a printout before you move.
Virginia-specific requirements: Virginia requires HPV vaccination for 7th grade entry and Hepatitis A — requirements not all states share. However, parents may opt out of HPV at their sole discretion (Code of VA §32.1-46). If your child needs catch-up doses of Hep A, your new Virginia provider can administer them.
Source: VDH — Immunization Requirements; Code of Virginia §32.1-46, accessed August 29, 2026
When you establish care with a new Virginia pediatrician, bring:
Your new Virginia provider will enter out-of-state vaccine doses into VIIS, complete the MCH 213G school entrance health form, and handle any Virginia-specific requirements. Schedule this appointment as soon as possible — the MCH 213G combines the physical exam and immunization record into one form, so it's the key document schools need.
The MCH 213G (Commonwealth of Virginia School Entrance Health Form) is Virginia's comprehensive school health document. It includes a physical examination, immunization record, TB risk assessment, developmental screening, and vision/hearing screening results. This single form must be completed by a licensed healthcare provider.
The physical exam on the MCH 213G must be completed within 12 months before school entry. If your child had a well-child exam in your previous state within the past year, your new Virginia provider can often incorporate those results into the MCH 213G — bring the exam summary. However, the MCH 213G is a Virginia-specific form, so your provider will need to complete it regardless.
Source: VDH — School Requirements; Code of Virginia §32.1-46, accessed August 29, 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. Bring your most recent well-child exam results.
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 213G isn't ready yet.
Your new Virginia pediatrician will complete the MCH 213G (physical + immunization record + screenings), enter doses into VIIS, and handle any Virginia-specific vaccine requirements. This is the one form every Virginia school needs — schedule the appointment for week one.
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