Pennsylvania · 2026–2027 School Year

Pennsylvania school immunization records:
what schools ask for and how to have them ready.

Pennsylvania schools require proof of immunization at enrollment — and again at 7th and 12th grade. This page covers the exact records Pennsylvania law requires at each checkpoint, how to retrieve them from PA-SIIS, and what happens if records are incomplete when school starts.

Last verified: September 8, 2026

Required Documents

1. Which immunization records Pennsylvania schools require

Under 28 Pa. Code §23.83, every child attending a Pennsylvania public, private, parochial, or home education program must have documented immunization records on file. Pennsylvania has three distinct checkpoints with different requirements at each.

All grades — K through 12 entry:

7th grade checkpoint:

12th grade checkpoint:

Official requirement list: The Pennsylvania Department of Health publishes the full school immunization schedule at health.pa.gov — School Immunization Requirements. The governing regulation is 28 Pa. Code Chapter 23, §23.83–23.86. (Source: PA Department of Health, accessed Aug 28, 2026)
Getting Records Ready

2. How to get your immunization records ready

1

Request your record from PA-SIIS

PA-SIIS (Pennsylvania Statewide Immunization Information System) is the state's centralized immunization registry. Most healthcare providers in Pennsylvania submit dose records to PA-SIIS electronically. Contact your pediatrician or local county health department to request a printout from PA-SIIS — this printout is accepted by Pennsylvania schools as an official immunization history.

(Source: PA Department of Health — PA-SIIS, accessed Aug 28, 2026)

2

Ask your provider for a signed immunization record

If PA-SIIS doesn't have a complete record — common if your child received doses in another state — bring whatever records you have to your pediatrician. They can review the history, update PA-SIIS with verified doses, and provide a signed record that lists each vaccine with the month, day, and year of administration.

3

Out-of-state or international records

If your child was vaccinated outside Pennsylvania, bring the original documentation (even if from another country) to a Pennsylvania-licensed provider. The provider reviews dose dates against PA requirements, enters valid doses into PA-SIIS, and identifies any gaps that need to be addressed. Once the record is reconciled, the provider can generate an official PA-compatible immunization record.

(Source: PA Department of Health, accessed Aug 28, 2026)

4

Check for the 7th- and 12th-grade requirements

Pennsylvania's 7th-grade Tdap booster and MCV4 requirement — and the 12th-grade MCV4 booster — catch families off-guard. If your child is approaching either grade, verify these doses are documented in PA-SIIS before school starts, not during the first week. A well-child visit before 7th grade is the natural time to get both doses administered and documented.

Enrollment Timing

3. Provisional enrollment and deadlines

Pennsylvania allows provisional enrollment for students who have received at least the first dose of each required vaccine series and have an appointment scheduled for the remaining doses. Under 28 Pa. Code §23.85, the provisional period is 5 school days from the date of enrollment.

How provisional enrollment works:
  • The student must have received at least one dose of each required vaccine series at the time of enrollment.
  • A medical plan documenting when the remaining doses will be administered must be on file.
  • If complete documentation is not provided within 5 school days, the school is required to exclude the student until records are received.
  • An 8-month provisional period applies when a child needs multiple doses in a series that require time intervals between doses — a medical plan must show the schedule.

(Source: PA Department of Health — Provisional Attendance, 28 Pa. Code §23.85, accessed Aug 28, 2026)

Pennsylvania's 5-day provisional window is one of the shortest in the country. Assembling records before enrollment — not the first week of school — is critical.

Staying Organized

4. Record-keeping tips for Pennsylvania families

How It Works

5. One email address. Every record. Always ready.

Every person gets one health story, and one private Family Stork email address every clinic already knows how to use. Give that address to your pediatrician, your county health department, or your school nurse — they send records to it, and the immunization history builds itself into one timeline.

When Pennsylvania schools ask for immunization records at kindergarten — or at the 7th-grade Tdap/MCV4 checkpoint, or at the 12th-grade MCV4 booster — the dose dates are already filed. No calling the old provider, no re-requesting from PA-SIIS, no digging through a folder of paper cards.

See how Family Stork works →

More Pennsylvania Resources

Related Pennsylvania guides for parents

Tired of logging into a different MyChart for every clinic? Family Stork vs MyChart — one email address replaces every portal.

Keep your family's entire health story in one place: family health timeline software.

One health story. One email address
every clinic already knows how to use.

Family Stork gives every family member a private @families.familystork.com address. Providers send immunization records to it automatically. PA-SIIS data, dose dates, and every checkpoint record — organized in one place, ready for every enrollment. $99/year — about $10/month.

Start your family's record — free
Exemptions in Pennsylvania

6. Immunization exemptions

Pennsylvania recognizes medical, religious, and philosophical (strong moral or ethical conviction) exemptions from school immunization requirements, governed by 28 Pa. Code §23.84.

The official process and submission requirements are described at the Pennsylvania Department of Health:

PA Department of Health — School Immunization Information →