Nebraska schools require specific immunization documentation before a child can enroll or continue attending. This page covers the exact records Nebraska law requires — including the Hepatitis A kindergarten requirement — how to retrieve records from NESIIS, and what to do if records are incomplete at enrollment.
Last verified: September 3, 2026
Under Neb. Rev. Stat. §79-221, a school shall not admit or retain a pupil unless the pupil has been immunized as required by the Nebraska Department of Health and Human Services (DHHS). The certificate is typically a printed record from the child's healthcare provider or from NESIIS (Nebraska State Immunization Information System).
The immunization certificate must show dated dose records for each of the following vaccine groups:
Note on Hepatitis A: Nebraska added the 2-dose Hepatitis A series as a kindergarten entry requirement. If your child's previous state didn't require Hep A, this may be a new documentation need. Check with your provider that both doses are on record before enrollment.
NESIIS (Nebraska State Immunization Information System) is Nebraska's statewide immunization registry. Most Nebraska healthcare providers report doses to NESIIS electronically. Contact your child's healthcare provider or the local health department to request a printed immunization history. A NESIIS printout is accepted by Nebraska schools as an official immunization record.
(Source: dhhs.ne.gov — NESIIS, accessed September 3, 2026)
If NESIIS doesn't have a complete record — especially for doses administered out of state — bring your existing records to your child's healthcare provider. They can review what's documented, verify dose dates, and provide a signed immunization certificate for the school.
Students entering 7th grade in Nebraska need two additional documented doses: a Tdap booster (administered on or after the 10th birthday) and a MenACWY dose. Verify these are on record before enrollment.
If your child was previously enrolled in another state or country, bring those records to a Nebraska-licensed provider. They review the documentation, verify dose dates, and create or update the Nebraska immunization certificate. Nebraska schools accept any verifiable dose record completed by a licensed provider, regardless of where the dose was administered.
Under Neb. Rev. Stat. §79-222, Nebraska allows provisional enrollment for students whose immunization series is in progress. The student must have received at least the first dose of each required vaccine and be on schedule to complete the remaining doses.
(Source: Neb. Rev. Stat. §79-222, accessed September 3, 2026)
Omaha Public Schools (OPS), Lincoln Public Schools (LPS), and Grand Island Public Schools all follow the state's provisional enrollment rules. Contact your school's health office for district-specific documentation and scheduling.
Every person gets one health story, and one private Family Stork email address every clinic already knows how to use. Give that address to your pediatrician in Omaha, your child's school nurse in Lincoln, or a specialist in Grand Island — they send records to it, and the immunization history builds itself into one timeline.
When Nebraska schools ask for the immunization certificate at enrollment — or at the 7th-grade checkpoint — the dose dates are already filed. No calling the old provider, no re-requesting from NESIIS, no searching through a box of paper cards.
Family Stork gives every family member a private @families.familystork.com address. Providers send immunization records to it automatically. Nebraska school forms, NESIIS updates, and every dose date — organized in one place, ready for every enrollment. $99/year — about $10/month.
Start your family's record — freeNebraska recognizes medical exemptions (signed by a physician) and religious exemptions (affidavit filed by the parent/guardian). The exemption forms are available through the school or the local health department.
The official exemption process is described by Nebraska DHHS:
More resources:
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