North Dakota school immunization requirements are set under NDCC 23-07-17.1, administered by the North Dakota Department of Health and Human Services (ND HHS). North Dakota is notable among states for recognizing medical, religious, and philosophical/moral exemptions — making it one of a smaller group of states with a philosophical exemption pathway. Whether your child is enrolling in Fargo Public Schools, Bismarck Public Schools, Grand Forks, or Minot, here is every required form and where to get records.
Last verified: September 3, 2026
Under NDCC 23-07-17.1, no child may be admitted to a North Dakota school without a certificate of immunization on file — issued by a licensed healthcare provider or verified through the North Dakota Immunization Information System (NDIIS), managed by ND HHS. The certificate must reflect age-appropriate immunizations or an approved exemption.
No state-mandated physical exam for school entry. North Dakota does not require a physical examination as a condition of public school enrollment. The immunization certificate is the primary health document required. Individual districts may request a health history form — confirm with your specific school's office.
Source: North Dakota Century Code NDCC 23-07-17.1; North Dakota HHS, accessed September 3, 2026
The North Dakota Immunization Information System (NDIIS), managed by ND HHS, tracks immunization records for children vaccinated in North Dakota. Your child's healthcare provider can access NDIIS and print a current immunization history for school enrollment.
To get your child's North Dakota immunization record:
Source: North Dakota HHS — Immunization Program and NDIIS, accessed September 3, 2026
Full immunization certificate required including Hepatitis A (2 doses) before enrollment in Fargo Public Schools, Bismarck Public Schools, Grand Forks Public Schools, or any North Dakota school. Many families moving to North Dakota from western states that don't require Hep A for school entry will need to confirm the 2-dose series is complete before the first day. Some districts allow provisional enrollment while documentation is finalized — contact your district's enrollment office in advance.
Tdap booster and first dose of MenACWY required. Schedule these in spring to have the updated NDIIS record ready before fall registration at Fargo, Bismarck, Grand Forks, or Minot school districts. The 7th-grade booster requirement under NDCC 23-07-17.1 applies statewide — not district-by-district.
Students transferring from other states must meet North Dakota's requirements. Hep A is the most commonly missing vaccine for students from states that don't require it. Bring all prior immunization documentation to the first North Dakota provider visit for NDIIS entry. Out-of-state certificates alone are not equivalent to an NDIIS-verified ND record.
Verify current enrollment requirements at each district's website before your appointment.
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North Dakota recognizes three types of exemptions from school immunization requirements under NDCC 23-07-17.1:
For official exemption forms and process, contact the North Dakota HHS Immunization Program or your child's school.
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