New Hampshire requires proof of immunization before any child may attend school under RSA 141-C:20-a. New Hampshire organizes its schools into School Administrative Units (SAUs) rather than county districts — so who you call for enrollment details depends on your town's SAU. Here is every required form, where to get it, and the grade-specific deadlines — cited to New Hampshire law and NH DHHS guidance.
Last verified: September 1, 2026
New Hampshire does not use a single state-issued immunization certificate form in the same way as some other states. Instead, RSA 141-C:20-a requires that schools receive proof of immunization — which can be your child's immunization record from a licensed provider, a printout from the New Hampshire Immunization Registry (NHIR), or documentation from an out-of-state provider showing compliance with the New Hampshire schedule.
New Hampshire does not require Hepatitis A vaccination for school entry at the state level. This is a common source of confusion for families moving from Louisiana, Arkansas, or Kansas, which do require Hep A — New Hampshire schools will not require the dose, but the pediatrician may recommend it on the CDC schedule.
Source: NH DHHS — School Entry Immunization Requirements; RSA 141-C:20-a, accessed Sep 1, 2026
The New Hampshire Immunization Registry (NHIR), operated by the NH Division of Public Health Services, records all vaccine doses administered by participating New Hampshire providers. If your child has been vaccinated in New Hampshire, most or all doses will be in NHIR.
To access your child's NHIR record:
Source: NH DHHS — New Hampshire Immunization Registry (NHIR), accessed Sep 1, 2026
Full immunization documentation required at enrollment. New Hampshire typically allows conditional enrollment for a short period while documentation is gathered — confirm the timeline with your specific SAU, as practices vary by district.
Tdap booster and first dose of MenACWY required before 7th grade begins. This is the most common documentation gap at New Hampshire middle school enrollment. Schedule the appointment with your pediatrician in late spring — the school nurse will verify compliance at 7th grade registration.
Out-of-state students need documentation showing compliance with New Hampshire's specific requirements — not just the sending state's. Your child's records from the prior state can be reviewed and accepted by a New Hampshire provider. Bring all vaccination records from all prior providers.
New Hampshire does not have a uniform statewide mandate requiring a physical exam form for all students at school entry. However, individual SAUs may require a physical exam form at kindergarten entry or at middle school entry as a local policy. The exam must typically be completed within the past 12 to 24 months.
Contact your child's specific SAU enrollment office or school nurse to confirm whether a physical exam form is required and what additional health forms (vision, hearing, or dental) may be needed at your child's school.
New Hampshire schools are administered by School Administrative Units (SAUs). Each SAU covers one or more municipalities. The largest:
New Hampshire has 166 SAUs. Confirm your specific SAU's health form requirements at the SAU office or school website — health form requirements (especially for physicals) vary by SAU.
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 your SAU enrollment office when registration opens. $99/year, or about $10 a month.
New Hampshire recognizes medical and religious exemptions from school immunization requirements under RSA 141-C:20-c. The exemption types, governing statute, and official process are described at the NH DHHS immunization page. Exemption eligibility is not determined by this guide — consult NH DHHS or your SAU enrollment office.
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