Oregon school immunization requirements are set by ORS 433.267 and OAR 333-050-0010. Oregon requires more vaccines for kindergarten entry than most states — including Hib and PCV — and has one of the most structured non-medical exemption processes in the country. Here is every form, every requirement, and every official source.
Last verified: September 8, 2026
Unlike some states, Oregon does not use a single standardized state immunization certificate. Instead, schools accept a provider-signed immunization record, an ALERT IIS printout from the Oregon Health Authority, or documentation from another state's immunization registry. The record must list every vaccine dose with dates and be signed by a healthcare provider.
Required vaccines for Oregon kindergarten (K) entry — OAR 333-050-0010:
7th grade: Tdap booster + first MenACWY (MCV4) dose required. (Source: Oregon Health Authority — Vaccines & Immunization; OAR 333-050-0010, accessed Aug 30, 2026)
Oregon's immunization information system is called ALERT IIS. It records vaccines administered by participating providers across the state. Schools and parents can access immunization records through ALERT IIS via the provider or the Oregon Health Authority.
Oregon schools are required to submit annual immunization rate reports to the Oregon Health Authority under ORS 433.267. These reports are publicly available — Oregon's school-level vaccination rates are visible to any parent. This means schools take documentation seriously, and gaps in immunization records are flagged quickly.
To retrieve an ALERT IIS record: ask your child's healthcare provider to print a current ALERT IIS history at the next visit. Out-of-state records may not be in ALERT IIS — bring paper documentation.
(Source: Oregon Health Authority — Vaccines & Immunization; ORS 433.267, accessed Aug 30, 2026)
Oregon passed Senate Bill 895 (2019), requiring parents who want a non-medical exemption (religious or philosophical) to complete a state-approved education module before the exemption is granted. This is governed under OAR 333-050-0040.
The education module is available online through the Oregon Health Authority website. After completing the module, the parent receives a certificate that must accompany the exemption form submitted to the school. Medical exemptions still require a licensed physician's certification only.
(Source: Oregon SB 895 (2019); Oregon Health Authority; OAR 333-050-0040, accessed Aug 30, 2026)
Review your child's records for Hib and PCV doses before the kindergarten enrollment appointment. These are not required in every state, so families transferring from out of state may have gaps here.
Ask your pediatrician to pull the ALERT IIS record. Bring paper records from any out-of-state providers — doses given outside Oregon may not be in ALERT IIS.
Your provider will complete and sign an updated immunization record at the visit. Turn in the documentation before the first day — Oregon schools submit annual immunization compliance reports and will follow up on missing records.
Oregon's annual school immunization reporting means the records your pediatrician sends need to be accurate and complete — not just at enrollment, but every year. Family Stork keeps the complete record organized so when the school asks for updated documentation, it's already there.
Give any Oregon clinic your child's private @families.familystork.com address. Vaccine records and visit summaries arrive and file themselves. $99/year, or about $10/month. Start your child's record free →
Oregon recognizes medical exemptions (requiring licensed physician certification) and non-medical exemptions (religious or philosophical) under ORS 433.267. Since SB 895 (2019), non-medical exemptions require completion of an OHA-approved education module — parents receive a completion certificate that must accompany the exemption form. For the current module link and exemption form, visit the Oregon Health Authority — Vaccines & Immunization page.
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