North Carolina requires immunization records and a health assessment before your child starts at a licensed child care facility. The state gives you 30 days from enrollment to complete all documentation. Here's every form, the deadlines, and where to find what you need.
Last verified: August 26, 2026
North Carolina General Statute §130A-155 requires all children in licensed child care to be age-appropriately immunized. The child's immunization record must be on file at the facility. NC allows a 30-day grace period from enrollment to submit documentation.
Required immunizations for child care (age-appropriate doses):
North Carolina Division of Child Development and Early Education (DCDEE) requires a health assessment for every child entering licensed child care. The assessment must be completed by a licensed healthcare provider and must include:
The initial health assessment must be on file within 30 days of enrollment. After that, NC requires updated assessments at the same intervals as well-child visits — typically every 12 months for children under age 2, and as recommended by the child's physician after age 2.
(Source: NC DCDEE — Child Care Licensing; 10A NCAC 09 .0803, accessed Aug 26, 2026)
North Carolina licensing rules require child care centers to collect emergency and health information at enrollment:
If your child requires emergency medication (EpiPen, inhaler, seizure medication), you'll need a Medication Administration Authorization Form completed and signed by the prescribing healthcare provider.
(Source: NC DCDEE — Child Care Licensing; 10A NCAC 09 .0803, accessed Aug 26, 2026)
North Carolina camp requirements depend on the type of camp:
(Source: NC DHHS — Camps and Pools; 15A NCAC 18A .3500, accessed Aug 26, 2026)
Licensed child care centers need a health assessment + immunization records + enrollment health info. Camps vary. Call ahead for the exact list.
Bring the center's health assessment form (or ask if they accept a standard well-child visit summary). Your pediatrician can complete the physical, update immunizations, and fill out everything in one visit.
Ask your pediatrician to print your child's record from NCIR. This is the official immunization history the day care needs on file.
NC gives you 30 days from enrollment to complete documentation. Don't wait — get everything submitted before the first day when possible. Keep copies for future camps and kindergarten.
Every person in your family gets a private @familystork.com email address. Give it to your pediatrician — they send records to it, and the health story builds itself. Immunization dates, health assessments, allergy documentation — all filed automatically into one timeline.
When the next camp asks for immunization records? When you switch daycares? When kindergarten enrollment starts? It's all already in one place.
$99/year — or about $10 a month.
North Carolina allows medical exemptions (physician certification that immunization is medically contraindicated) and religious exemptions (parent's written statement of bona fide religious objection) for child care immunization requirements.
Governing statute: NCGS §130A-157.
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