New Hampshire requires proof of immunization for every child entering school under RSA 141-C:20-a. Unlike some states, New Hampshire does not use a single state-issued certificate form — your child's provider-signed immunization record or a New Hampshire Immunization Registry (NHIR) printout is accepted. New Hampshire organizes schools into School Administrative Units (SAUs) by town, so your specific enrollment contact depends on where you live. Here is exactly what schools ask for and how to have it ready.
Last verified: September 2, 2026
New Hampshire follows the CDC-recommended childhood immunization schedule for dose counts. The specific number of doses required at any grade depends on the child's age at enrollment and the immunization history.
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 that satisfies school enrollment requirements.
Your child's NH provider can access NHIR directly and print a current immunization history or a provider-signed record. This is the most straightforward path. Schedule an appointment well before school enrollment season — late spring or early summer for fall enrollment.
New Hampshire's public health districts can assist with NHIR access. NH DHHS Immunization Program can direct you to the right district office. (Source: NH DHHS Immunization Program, accessed September 2, 2026)
Records from another state will not automatically appear in NHIR. Bring your child's out-of-state immunization records to a NH provider or district public health office to have doses entered into NHIR before school enrollment.
New Hampshire organizes its public schools into School Administrative Units (SAUs) rather than county-level school districts. Each town or group of towns belongs to a specific SAU, which handles enrollment, health records, and school-level policies. When you need to contact your child's school about health form requirements, the relevant office is your town's SAU — not a county board.
New Hampshire has more than 160 SAUs. Find your town's SAU and health form requirements through the NH Department of Education SAU listing.
Full proof of immunization required before the first day. Conditional enrollment timelines vary by SAU — confirm the window with your child's specific school. A physical exam within the past 2 years is also typically required by NH schools at kindergarten entry.
Tdap booster and first MenACWY dose required. Schedule both shots in spring or early summer so the record is ready before fall enrollment. Bring the updated immunization record — your provider can print it or update the NHIR entry — to school check-in.
Students transferring from another state must meet New Hampshire's requirements. Out-of-state immunization records showing comparable dose counts are generally accepted — confirm with your SAU. If any doses are missing under the NH schedule, your child's NH provider will advise on catch-up.
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 school nurse when enrollment season arrives. $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 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 your SAU enrollment office.
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