North Dakota · Immunization Records

Which immunization records North Dakota schools ask for — and how to have them ready.

North Dakota school enrollment requires documented proof of immunization under NDCC 23-07-17.1, administered by North Dakota Health and Human Services (ND HHS). This page covers the exact records required, how to access the NDIIS registry, and what the 7th-grade Tdap/MenACWY checkpoint means for families in Fargo, Bismarck, Grand Forks, and Minot.

Last verified: September 4, 2026

The Records

1. Immunization certificate — NDCC 23-07-17.1

Under NDCC 23-07-17.1, no child may be admitted to a North Dakota school without a certificate of immunization on file. The certificate must be issued by a licensed healthcare provider or verified through the North Dakota Immunization Information System (NDIIS), managed by ND HHS.

Required immunization records for North Dakota school entry:

DTaP — 5 doses (4 doses accepted if 4th given at age 4+)
IPV (Polio) — 4 doses
MMR — 2 doses
Hepatitis B — 3 doses
Varicella — 2 doses (or documented history of disease)
Hepatitis A — 2 doses (kindergarten entry)

7th-grade checkpoint: Students entering 7th grade must provide records showing a Tdap booster and a first dose of MenACWY (meningococcal conjugate). Schedule these in spring so the updated NDIIS record is ready before fall registration.

No state-mandated physical exam. North Dakota does not require a physical examination as a condition of public school enrollment. The immunization certificate is the primary health document. Individual districts may request a health history form — confirm with your specific school office.

Source: North Dakota Century Code NDCC 23-07-17.1; ND HHS Immunization Program, accessed September 4, 2026

2. NDIIS — North Dakota's immunization registry

The North Dakota Immunization Information System (NDIIS) tracks immunization records for children vaccinated in North Dakota. Healthcare providers and county public health units can access NDIIS directly and print a current immunization history for school enrollment.

How to get your child's immunization record from NDIIS:

Through your child's provider — any North Dakota pediatrician or family medicine provider can access NDIIS and print a current immunization certificate at your visit.
Through your local public health unit — county public health nurses can look up NDIIS records and issue certificates. This is especially useful if you're between providers or recently moved.
For out-of-state transfers — bring all prior vaccination documentation to your first North Dakota provider appointment. The provider will verify dose dates and enter valid out-of-state doses into NDIIS, then issue a North Dakota-compliant certificate.

Hepatitis A is the most commonly missing vaccine for students transferring from states that don't require it. North Dakota added Hep A as a kindergarten entry requirement — confirm the 2-dose series is complete before enrollment day.

Source: ND HHS — Immunization Program and NDIIS, accessed September 4, 2026

3. District record requirements — Fargo, Bismarck, Grand Forks, Minot

Fargo Public Schools — North Dakota's largest district. Online enrollment available; immunization certificate (NDIIS printout or provider-signed) required before the first day. fargo.k12.nd.us
Bismarck Public Schools — The state capital's district. In-person and online enrollment; NDIIS-verified record accepted. bismarckschools.org
Grand Forks Public Schools — Home of the University of North Dakota. Enrollment at school offices; immunization certificate required at registration. gfschools.org
Minot Public Schools — Serves families from Minot Air Force Base. Military families PCSing to Minot should gather complete records before arriving; MAFB providers have NDIIS access but out-of-state records need verification. minot.k12.nd.us

4. Keeping immunization records organized

NDIIS stores what was administered in North Dakota — but it doesn't hold your child's growth charts, allergy records, specialist notes, or records from another state. Parents still need a way to keep all of it together, especially when switching providers or districts.

Records to keep alongside immunizations:

Well-child visit summaries with growth percentiles and developmental notes
Allergy documentation and action plans (food allergies, medication allergies)
Specialist records, referrals, and any diagnoses
Vision and dental screening results
IEP, 504 plan, or special education documentation
Current medications list with dosages

The Simpler Way

One email address that keeps every record together

Every person gets one health story, and one private Family Stork email address every clinic already knows how to use. Your Fargo pediatrician sends the well-child summary, the Grand Forks dentist sends the cleaning notes, and the Bismarck allergist sends the test results — all to the same address, filing automatically on the same timeline.

Tired of managing health records for yourself and everyone you love? Family Stork organizes them for you automatically — no portal logins, no uploads, nothing for any clinic to learn.

Exemptions

North Dakota immunization exemptions

North Dakota recognizes three types of exemptions from school immunization requirements under NDCC 23-07-17.1:

Medical exemption — written statement from a licensed physician.
Religious exemption — written statement from a parent or guardian.
Philosophical/moral exemption — written statement from a parent or guardian.

For official exemption forms, contact the ND HHS Immunization Program or your child's school.

More resources:

Juggling logins across multiple hospital portals? See how Family Stork compares to MyChart — one email address vs. a different portal for every clinic.

Keep your family's entire health story in one place: family health timeline software — from first heartbeat and beyond.

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