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Immunizations & Forms

  • Immunizations and Forms (Board Policy 304.05) (Pursuant to IC 20-34-4-5)
    • Vaccines provide immunity against dangerous diseases. Vaccines are made using a weakend or dead form of the live virus or bacteria. This allows the body to recognize the disease when exposed without causing the person to develop severe viral or bacterial infection.
    • ***IC 20-34-4-2: Required Immunizations Sec. 2.
    • (a) Every child residing in Indiana who is enrolled in an accredited elementary school or high school shall be immunized as determined by the state department of health against: diphtheria; pertussis (whooping cough); tetanus; measles rubella; poliomyelitis; mumps; varicella; hepatitis A; hepatitis B; and meningitis
    • (b) The state department of health may expand or otherwise modify the list of communicable diseases that require documentation of immunity as medical information becomes available that would warrant the expansion or modification in the interest of public health.
    • The parent of a student who has enrolled in the Metropolitan School District of Mt. Vernon is required to furnish not later than the first day of school a written statement of the student’s immunization, accompanied by the physician’s certificate or other documentation, unless a written statement of this nature is on file with the school. This statement must include the student’s date of birth and the date of each immunization.
    • It is required that each student have an Indiana State Department of Health’s Children and Hoosiers Immunization Registry Program (CHIRP) form on file upon enrollment.
    • This form is utilized to verify that the child has received proper immunizations and to inform parents/guardians of child’s immunization status or that an immunization is due according to recommended immunization schedules.
    • A student may not be permitted to attend school beyond the first day of school without furnishing confirmation of immunization status, have a waiver granted by the school to provide documentation of immunization status, or have on file a current religious or medical waiver.
    • The waiver granted by the school may not exceed twenty days.
    • *IC 20-34-3-2: Religious Objection Exception
      • The following form must be filed with the school when the child’s parent objects on religious grounds.
      • A religious objection does not exempt a child from any testing, examination, immunization, or treatment required under this chapter or IC 20-34-4 unless the objection is:
        • (1) made in writing;
        • (2) signed by the child’s parent; and
        • (3) delivered to the school office.
    • **IC 20-34-3-3: Exception for Student’s Health
      • If a physician certifies that a particular immunization required by this chapter or IC 20-34-4 is or may be detrimental to a student’s health, the requirements of this chapter or IC 20-34-4 for that particular immunization is inapplicable for the student until the immunization is found no longer detrimental to the student’s health. The following form must be filed with the school:
    • In the event of an outbreak of a vaccine preventable disease for which your child is not fully vaccinated, your child may be excluded from school to protect his/her health and the health of all our students and staff.
      • It is important to understand that with some diseases such as measles, one infected child is an outbreak.
      • The length of time your child will be kept out of school depends on the disease. Your child's exclusion may be as long as 3-4 weeks.
      • If your child is excluded from school, your child will also be excluded from school sponsored activities, such as sporting events, dances, and graduation that occur within the exclusion period.
      • The school will notify you when your child can return to school.
    • Vaccine Records
      • If you would like to check your child’s immunization status you can use MyVaxIndiana as a portal created by the Indiana Department of Health (IDOH). This site allows you to access your vaccine record(s) (and those of your dependents) online.
    • Where to Find Vaccines
      • Use our local health department to set up a vaccine visit, primary care provider, or even some local pharmacies.
      • If you do not have insurance there are a few local providers under The Vaccines for Children (VFC) program. VFS is a federal program that provides vaccines at no cost to children who might not otherwise be vaccinated because of an inability to pay. To find a local provider under the VFC program visit:
    • Provision of Vaccine Information: