North Dakota childcare facilities — daycares, preschools, and licensed day camps — are required to collect immunization documentation for every enrolled child. Childcare licensing is governed under NDCC 50-11.1, with immunization requirements set under NDCC 23-07-17.1, both administered by the North Dakota Department of Health and Human Services (ND HHS). Whether you're enrolling an infant in a Fargo daycare, a toddler in a Bismarck preschool, or a child in a summer camp in the Minot or Grand Forks area, here is what you need.
Last verified: September 3, 2026
North Dakota licensed childcare centers are required under NDCC 23-07-17.1 to collect immunization documentation for every enrolled child at or before enrollment. The record must be from a licensed healthcare provider or verified through NDIIS (North Dakota Immunization Information System).
Source: NDCC 23-07-17.1; ND HHS Immunization Program, accessed September 3, 2026
North Dakota's philosophical exemption applies to daycare. Like the school setting, North Dakota recognizes medical, religious, and philosophical/moral exemptions from immunization requirements for daycare enrollment. Contact ND HHS or your daycare for the required exemption form — exemptions must be on file at the facility. (Source: NDCC 23-07-17.1, accessed September 3, 2026)
North Dakota childcare facilities must be licensed through ND HHS Early Childhood Services under NDCC 50-11.1. This licensing process includes verification that the facility maintains immunization records for all enrolled children. ND HHS inspectors may review immunization documentation as part of licensing compliance.
What this means for parents:
Source: NDCC 50-11.1 — Child Care Centers; ND HHS Early Childhood Services, accessed September 3, 2026
Full immunization documentation required at enrollment. Ongoing record maintenance required as part of ND HHS licensing compliance. New doses must be reported as children age. Ask your daycare director what they need before your child's first day — the NDIIS printout is usually all you need.
North Dakota day camps are regulated differently from residential overnight camps. Licensed programs serving children should follow NDCC 23-07-17.1 immunization requirements. Private and non-licensed programs may have their own health form requirements — always ask the camp what documentation they require. Bring the NDIIS printout as the universal backup; every ND camp will accept it.
Licensed family daycare homes in North Dakota are regulated under ND HHS and must maintain immunization records under the same NDCC 23-07-17.1 framework. They are licensed by ND HHS Early Childhood Services. If you use a licensed family daycare, the provider's licensing requires the same immunization documentation as a center-based setting.
Verify specific requirements with your childcare facility or camp before enrollment.
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Under NDCC 23-07-17.1, North Dakota allows medical, religious, and philosophical/moral exemptions from childcare immunization requirements. The exemption form must be on file at the facility. Contact the North Dakota HHS Immunization Program for official exemption documentation and process.
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