Licensed childcare facilities and summer camps in New Hampshire require health documentation before your child can attend. New Hampshire's immunization requirements apply to childcare settings under RSA 141-C:20-a, and NH DHHS-licensed childcare programs must maintain immunization records. Here's what you need, where to get it, and what to prepare before the first day.
Last verified: September 2, 2026
Childcare programs licensed by the New Hampshire Department of Health and Human Services (NH DHHS) Child Care Licensing Unit are required to maintain proof of immunization for every enrolled child. The applicable immunization standard follows RSA 141-C:20-a — the same schedule that governs school entry.
Conditional enrollment: Licensed NH facilities may accept a child conditionally while immunization paperwork is being completed — confirm the specific timeline and requirements with your childcare provider before enrollment.
Sources: NH DHHS — Child Care Licensing; RSA 141-C:20-a, accessed September 2, 2026
New Hampshire resident and day camps licensed by NH DHHS typically require health documentation before camper check-in. Requirements vary by camp type and licensing category:
Most licensed camps require an up-to-date immunization record — the same proof of immunization used for school enrollment. NH does not have a single state-issued certificate; a printout from your provider or from the NHIR is accepted. Bring this at check-in or submit it with registration materials.
Most overnight camps require a physical exam within the past 12 to 24 months and a completed health history form. The camp provides its own form — bring the completed pediatrician exam to combine with it. Ask your pediatrician well in advance of the camp season.
If your child takes any medication, including over-the-counter medications, a signed physician and parent authorization form is typically required at licensed camps. Prepare this at your pre-camp well-child visit and include it with the health form packet.
Source: NH DHHS — Youth Camp Licensing, accessed September 2, 2026
New Hampshire maintains immunization records in the New Hampshire Immunization Registry (NHIR), managed by the NH DHHS Division of Public Health Services. Your child's licensed NH provider can access NHIR to verify records and provide a printout for childcare or camp enrollment.
Source: NH DHHS — Immunization Program, accessed September 2, 2026
Every person gets one health story, and one private Family Stork email address every clinic already knows how to use. When your New Hampshire pediatrician sends a visit summary to your child's @familystork address, the vaccine record files automatically into the health timeline — ready for the daycare director and camp nurse when enrollment season arrives. $99/year, or about $10 a month.
New Hampshire recognizes medical and religious exemptions from school and childcare immunization requirements under RSA 141-C:20-c. The governing statute and official exemption process are described at the NH DHHS Immunization Program. Exemption eligibility is not determined by this guide — consult your child's healthcare provider or NH DHHS.
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