National Vaccine
Information Center

Your Health. Your Family. Your Choice.
Translate this page:

Make a Difference
 
NVIC is 100% funded by
donations. Please give.

Help educate families about
preventing vaccine injury
and death by donating
to NVIC today.



  
Kentucky
State Vaccine Requirements
Posted Date: March 04, 2014

Quick Fact: Any child whose parents are opposed to medical immunization against disease, and who object by a written sworn statement to the immunization of such child on religious grounds shall be exempt from immunizations.  Medical exemptions are also allowed. 

Other Resources: Many vaccination and exemption information links are date specific. If the links below have expired, click on the state's department of health, or immunization program link provided below, as they are likely to provide links to updated information. The General Information link leads to the overview page provided by the state at the time of this webpage's update and may also be helpful.  Please email NVIC with broken link information. 

K-12 School Information  Higher Ed 
  • Higher Ed Vaccination Requirements - Request college/university of choice for their Proof of Immunization Compliance, as each institution may use its own form.
  • Exemption Information - Request college/university of choice for their Proof of Immunization Compliance, as each institution may use its own form. 
Daycare Information

Vaccination Requirements for Healthcare Workers, Patients, Inmates & Developmentally Disabled

State of Kentucky Legislature see applicable statutes and their hyperlinks below. Visit NVIC’s Advocacy Portal for information on legislation introduced impacting vaccine exemption rights.

State of Kentucky Department of Health

State of Kentucky Immunization Program

 
 
The information contained on NVIC's web pages is for educational purposes only and is not intended to be medical or legal advice. Those seeking medical or legal advice should obtain the services of a competent attorney, physician or qualified health care professional.  Although NVIC continually updates our website, state laws and rules change frequently and consumers are ultimately responsible for verifying their state's vaccination and exemption laws and requirements.

Back to Exemptions Main Page - All States   


TITLE XIII. EDUCATION
CHAPTER 158. CONDUCT OF SCHOOLS -- SPECIAL PROGRAMS
CONDUCT OF SCHOOLS

KRS § 158.035. Certificate of immunization 

Except as provided in KRS 214.036, no child shall be eligible to enroll as a student in any public or private elementary or secondary school without first presenting a certificate from a medical physician, osteopathic physician, or advanced practice registered nurse licensed in any state. The certificate shall state that the child has been immunized against diphtheria, tetanus, poliomyelitis, rubeola, and rubella in accordance with the provisions of this section and KRS 214.010, 214.020, 214.032 to 214.036, and 214.990 and the administrative regulations of the secretary for health and family services. The governing body of private and public schools shall enforce the provisions of this section. 
 

TITLE XVIII. PUBLIC HEALTH
CHAPTER 214. DISEASES
GENERAL PROVISIONS

KRS § 214.034. Immunization of children -- Testing and treatment of children for tuberculosis -- Requirement for reception and retention of current immunization certificate by schools and child-care facilities. 

Except as otherwise provided in KRS 214.036: 

(1) All parents, guardians, and other persons having care, custody, or control of any child shall have the child immunized against diphtheria, tetanus, poliomyelitis, pertussis, measles, rubella, mumps, hepatitis B, and haemophilis influenzae disease in accordance with testing and immunization schedules established by regulations of the Cabinet for Health and Family Services. Additional immunizations may be required by the Cabinet for Health and Family Services through the promulgation of an administrative regulation pursuant to KRS Chapter 13A if recommended by the United States Public Health Service or the American Academy of Pediatrics. All parents, guardians, and other persons having care, custody, or control of any child shall also have any child found to be infected with tuberculosis examined and treated according to administrative regulations of the Cabinet for Health and Family Services promulgated under KRS Chapter 13A. The persons shall also have booster immunizations administered to the child in accordance with the regulations of the Cabinet for Health and Family Services.
(2) A local health department may, with the approval of the Department of Public Health, require all first-time enrollees in a public or private school within the health department's jurisdiction to be tested for tuberculosis prior to entering school. Following the first year of school, upon an epidemiological determination made by the state or local health officer in accordance with administrative regulations promulgated by the Cabinet for Health and Family Services, all parents, guardians, and other persons having care, custody, or control of any child shall have the child tested for tuberculosis, and shall have any child found to be infected with tuberculosis examined and treated according to administrative regulations of the Cabinet for Health and Family Services. Nothing in this section shall be construed to require the testing for tuberculosis of any child whose parent or guardian is opposed to such testing, and who objects by a written sworn statement to the testing for tuberculosis of the child on religious grounds. However, in a suspected case of tuberculosis, a local health department may require testing of this child.

(3) All public or private primary or secondary schools, and preschool programs shall require a current immunization certificate for any child enrolled as a regular attendee, as provided by administrative regulation of the Cabinet for Health and Family Services, promulgated under KRS Chapter 13A, to be on file within two (2) weeks of the child's attendance.

(4) All public or private primary schools shall require a current immunization certificate for hepatitis B for any child enrolled as a regular attendee in the sixth grade, as provided by administrative regulation of the Cabinet for Health and Family Services, promulgated under KRS Chapter 13A, to be on file within two (2) weeks of the child's attendance.

(5) For each child cared for in a day-care center, certified family child-care home, or any other licensed facility which cares for children, a current immunization certificate, as provided by administrative regulation of the Cabinet for Health and Family Services, promulgated under KRS Chapter 13A, shall be on file in the center, home, or facility within thirty (30) days of entrance into the program or admission to the facility.

(6) Any forms relating to exemption from immunization requirements shall be available at public or private primary or secondary schools, preschool programs, day-care centers, certified family child-care homes, or other licensed facilities which care for children. 

KRS § 214.036 Exceptions to testing or immunization requirement 

Nothing contained in KRS 158.035, 214.010, 214.020, 214.032 to 214.036, and 214.990 shall be construed to require the testing for tuberculosis or the immunization of any child at a time when, in the written opinion of his attending physician, such testing or immunization would be injurious to the child's health. Nor shall KRS 158.035, 214.010, 214.020, 214.032 to 214.036, and 214.990 be construed to require the immunization of any child whose parents are opposed to medical immunization against disease, and who object by a written sworn statement to the immunization of such child on religious grounds. Provided, however, that in the event of an epidemic in a given area, the Cabinet for Health and Family Services may, in an emergency regulation, require the immunization of all persons within the area of the epidemic, against the disease responsible for such epidemic.
 

TITLE 902. CABINET FOR HEALTH AND FAMILY SERVICES
DEPARTMENT FOR PUBLIC HEALTH
CHAPTER 2. COMMUNICABLE DISEASES

902 KAR 2:060

Immunization schedules for attending child day care centers, certified family child care homes, other licensed facilities which care for children, preschool programs, and public and private primary and secondary schools.

Section 1. Definitions.

(1) "ACIP" or Advisory Committee on Immunization Practices" means the United States Department of Health and Human Services (HHS) Committee that makes national immunization recommendations to the Secretary of the HHS, the Assistant Secretary for Health, and the Director of the.

(2) "Advanced Practice Registered Nurse" or "APRN" (APRN) means a nurse designated to engage in advanced registered nursing practice as defined in KRS 314.011.

(3) "Dose" means a measured quantity of vaccine, specified in the package insert provided by the manufacturer.

(4) "DT" means diphtheria and tetanus toxoids combined.

(5) "DTaP" means diphtheria and tetanus toxoids combined with acellular pertussis vaccine.

(6) "DTP" means diphtheria and tetanus toxoids combined with pertussis vaccine.

(7) "Healthcare provider" means a person licensed under KRS 311.530 to 311.620, 311.840 to 311.862, and a nurse designated to engage in advanced practice registered nursing as defined in KRS 314.011 and 314.042.

(8) "HepB" means hepatitis B vaccine.

(9) "Hib" means haemophilus influenzae type b conjugate vaccine.

(10) "IPV" means inactivated polio virus vaccine.

(11) "MCV" means meningococcal conjugate vaccine.

(12) "MMR" means measles, mumps, and rubella vaccines combined.

(13) "MPSV" means meningococcal polysaccharide vaccine.

(14) "OPV" means trivalent oral poliovirus vaccine (Sabin)

(15) "PCV" means pneumococcal conjugate vaccine.

(16) "Pharmacist" means a person licensed under KRS 315.002 to 315.050.
 
(17) "Physicians Assistant" means a person licensed under KRS 311.840 to 311.862.
 
(18) "Td" means combined tetanus and diphtheria toxoids (adult type).
 
(19) "Tdap" means tetanus toxoid and reduced diphtheria toxoid combined with acellular pertussis vaccines.
 
(20) "Varicella" means varicella or chickenpox vaccine.
 
Section 2. Immunization Schedules. 
 
(1) A child three (3) months of age or older, without a current immunization certificate, shall not attend:  
(a) A child day care center;

(b) Certified family child care home;

(c) Other licensed facility which cares for children;

(d) Preschool program; or

(e) Public or private primary or secondary school. 

(2) Except as provided in Section 3 of this administrative regulation, the immunization certificate of a child shall be considered current if the child is:
(a) At least three (3) and less than five (5) months of age and has received at least: 

1. One (1) dose of DTaP or DTP;

2. One (1) dose of IPV or OPV;

3. One (1) dose of Hib;

4. One (1) dose of HepB; and

5. One (1) dose of PCV;  

(b) At least five (5) and less than seven (7) months of age and has received at least: 

 

1. Two (2) doses of DTaP or DTP or combinations of the two (2) vaccines;

2. Two (2) doses of IPV or OPV or combinations of the two (2) vaccines;

3. Two (2) doses of Hib;

4. Two (2) doses of HepB; and

5. Two (2) doses of PCV;  

 

(c) At least seven (7) and less than twelve (12) months of age and has received at least: 

1. Three (3) doses of DTaP or DTP or combinations or the two (2) vaccines;

2. Two (2) doses of IPV or OPV or combinations of the two (2) vaccines;


3. Two (2) doses of Hib;

4. Two (2) doses of HepB; and

5.

 

a. Three (3) doses of PCV; or

b. Two (2) does of PCV if a child received the first dose of PCV between seven (7) to eleven (11) months of age; 
 
(d) At least twelve (12) and less than sixteen (16) months of age and has received at least:  
1. Three (3) doses of DTaP or DTP or combinations of the two (2) vaccines;
2. Two (2) doses of IPV or OPV or combinations of the two (2) vaccines;
3.
a. Three (3) doses of Hib; or

b. Two (2) doses of Hib between twelve (12) and fifteen (15) months of age;
4. Two (2) doses of HepB; and
5.
a. Four (4) doses of PCV with one (1) dose on or after twelve (12) months of age;

b. Three (3) doses of PCV if a child received the first dose of PCV between seven (7) to eleven (11) months of age, with at least one (1) dose on or after twelve (12) months of age; or

c. Two (2) doses of PCV if a child received the first dose of PCV between twelve (12) to fifteen (15) months of age;

               (e) At least sixteen (16) and less than nineteen (19) months of age and has received at least:
1. Four (4) doses of DTaP or DTP or combinations of the two (2) vaccines;
 
2. Two (2) doses of IPV or OPV or combinations of the two (2) vaccines;

3. Four (4) doses of Hib;

4. Two (2) doses of HepB;

5.

a. Four (4) doses of PCV with one (1) dose on or after twelve (12) months of age;

b. Three (3) doses of PCV if a child received the first dose of PCV between seven (7) to eleven (11) months of age, with at least one dose on or after twelve (12) months of age; or

c. Two (2) doses of PCV if a child received the first dose of PCV between twelve (12) to fifteen (15) months of age;

6. One (1) dose of MMR; and

7. One (1) dose of varicella, unless a healthcare provider states that the child has had a diagnosis of typical varicella disease or verification of a history of varicella disease by a healthcare provider or a diagnosis of herpes zoster disease or verification of a history of herpes zoster disease by a healthcare provider;

(f) At least nineteen (19) and less than forty-eight (48) months of age and has received at least: 

1. Four (4) doses of DTaP or DTP or combinations of the two (2) vaccines;

2. Three (3) doses of IPV or OPV or combinations of the two (2) vaccines:

3. Four (4) doses of Hib;

4. Three (3) doses of HepB; and

5.
a. Four (4) doses of PCV with one (1) dose on or after twelve (12) months of age;

b. Three (3) doses of PCV if a child received the first dose of PCV between seven (7) to eleven (11) months of age, with at least one (1) dose on or after twelve (12) months of age;

c. Two (2) doses of PCV if a child received the first dose of PCV between twelve (12) to fifteen (15) months of age; or

d. One (1) dose of PCV if a child received the first dose of PCV at twenty-four (24) months of age or older;

6. One (1) dose of MMR; and

7. One (1) dose of varicella, unless a healthcare provider states that the child has had a diagnosis of typical varicella disease or verification of a history of varicella disease by a healthcare provider or a diagnosis of herpes zoster disease or verification of a history of herpes zoster disease by a healthcare provider; 
 
    (g) At least forty-eight (48) months and less than five (5) years of age and has received at least: 
 
1. Four (4) doses of DTaP or DTP or combinations of the two (2) vaccines;

2. Three (3) doses of IPV or OPV or combinations of the two (2) vaccines;

3. Four (4) doses of Hib;

4. Three (3) doses of HepB;

5.
a. Four (4) doses of PCV with one (1) dose on or after twelve (12) months of age;

b. Three (3) doses of PCV if a child received the first dose of PCV between seven (7) to eleven (11) months of age, with at least one (1) dose on or after twelve (12) months of age;

c. Two (2) doses of PCV if a child received the first dose of PCV between twelve (12) to twenty-three (23) months of age; or

d. One (1) dose of PCV if a child received the first dose of PCV at age twenty-four (24) months or older;

6. Two (2) doses of MMR; and

7. Two (2) doses of varicella, unless a healthcare provider states that the child has had a diagnosis of typical varicella disease or verification of a history of varicella disease by a healthcare provider or a diagnosis of herpes zoster disease or verification of a history of herpes zoster disease by a healthcare provider; 
 
   (h) At least five (5) and less than seven (7) years of age and has received at least: 

1. Five (5) doses of DTaP or DTP or combinations of the two (2) vaccines; 

2. Four (4) doses of IPV or OPV or combinations of the two (2) vaccines;

3. Three (3) doses of HepB;

4. Two (2) doses of MMR; and

5. Two (2) doses of varicella, unless a healthcare provider states that the child has had a diagnosis of typical varicella disease or verification of a history of varicella disease by a healthcare provider or a diagnosis of herpes zoster disease or verification of a history of herpes zoster disease by a healthcare provider; 
 
     (i) At least seven (7) years of age and less than eleven (11) years of age and has received: 
 
1.
a. Five (5) doses of DTaP or DTP or combinations of the two (2) vaccines; or
b. A dose of Td that was preceded by two (2) doses of DTP, DTaP, DT, or Td or combinations of the four (4) vaccines;

2. Four (4) doses of IPV or OPV or combinations of the two (2) vaccines;

3. Three (3) doses of HepB;

4. Two (2) doses of MMR; and

5. Two (2) doses of varicella, unless a healthcare provider states that the child has had a diagnosis of typical varicella disease or verification of a history of varicella disease by a healthcare provider or a diagnosis of herpes zoster disease or verification of a history of herpes zoster disease by a healthcare provider;
 
(3) For sixth grade entry, age eleven (11) or twelve (12) years or older, a child shall have received:
 
(a) One (1) dose of Tdap;

(b) Four (4) doses of IPV or OPV or combinations of the two (2) vaccines;

(c)
1. Three (3) doses of HepB; or

2. Two (2) doses of adult HepB approved by the FDA to be used for an alternative schedule for adolescents eleven (11) through fifteen (15) years of age;

(d) Two (2) doses of MMR;

(e) Two (2) doses of varicella, unless a healthcare provider states that the child has had a diagnosis of typical varicella disease or verification of a history of varicella disease by a healthcare provider or a diagnosis of herpes zoster disease or verification of a history of herpes zoster disease by a healthcare provider; and

(f) One (1) dose of MCV or MPSV.
 
(4) Immunizations shall be administered at least at the minimum ages and intervals recommended by the ACIP. Partial, split, half, or fractionated doses or quantities shall not be administered and shall not be counted as a valid dose. 

 
Section 3. Exceptions and Exemptions to the Immunization Schedules.
 
(1) If the first two (2) doses of Hib vaccine required in Section 2(2) of this administrative regulation were meningococcal group B outer membrane protein (PRP-OMP) vaccines, the third dose may be omitted.

(2) If one (1) dose of Hib vaccine has been administered to a child who is at least fifteen (15) and less than sixty (60) months of age, the child shall:

(a) Not be required to receive further doses of Hib; and

(b) Be considered to have received the Hib doses required by this administrative regulation.

(3) A child with a contraindication to pertussis vaccine may be given DT in lieu of DTaP or Td in lieu of Tdap required in Section 2 of this administrative regulation.

(4) If the fourth dose of DT, DTP, or DTaP was administered on or after the fourth birthday, the fifth dose shall not be required.

(5) If the third dose of IPV or OPV was administered on or after the fourth birthday and at least six (6) months following the previous dose, the fourth dose shall not be required.

(6) If one (1) dose of PCV has been administered to a child who is at least age twenty-four (24) months and less than sixty (60) months of age, the child shall:

(a) Not be required to receive further doses of PCV; and

(b) Be considered to have received the PCV doses required by this administrative regulation.

(7) A child with a medical contraindication to receiving a vaccine may obtain, from the child's healthcare provider, a "Certificate of Medical Exemption" from the requirements of Section 2 of this administrative regulation, in compliance with KRS 214.036.

(8)
(a) A healthcare provider, pharmacist, local health department, or other licensed healthcare facility administering immunizations, shall, upon receipt of a written sworn statement from the parent or guardian of a child, issue a "Certificate of Religious Exemption" from the requirements of Section 2 of this administrative regulation, in compliance with KRS 214.036.

(b) A "Certificate of Religious Exemption" shall only be valid for all requirements of Section 2 of this administrative regulation.

(9)

(a) A provisional immunization certificate shall be issued for an otherwise-qualified child, who is behind in required immunizations, and:

1. Who has not yet reached the required minimum age; or

2. For whom the time interval between doses has not elapsed.

(b) A provisional immunization certificate shall:

1. Permit a child to attend a child day care center, certified family child care home, other licensed facility which cares for children, preschool program, primary or secondary school until the child reaches the appropriate age, or upon passage of the time interval between required doses;

2. Expire fourteen (14) days from the date the next dose is required to be given; and

3. Not be valid for more than one (1) year.
 
Section 4. Immunization Certificates.
 
(1) An immunization certificate may be issued by:

(a) A physician;

(b) An advanced practice registered nurse;

(c) A physician's assistant;

(d) A pharmacist;

(e) Local health department; or

(f)Other licensed healthcare facility administering immunizations.

(2) An immunization certificate may be signed by:

(a) A physician;

(b) An advanced practice registered nurse;

(c) A physician's assistant;

(d) A pharmacist;

(e) Local health department administrator; or

(f) A registered nurse designee of a physician, local health department administrator, or other licensed healthcare facility.

(3) A local health department, healthcare provider, pharmacist, or other licensed healthcare facility administering immunizations may obtain the following immunization certificates from the Cabinet for Health and Family Services:

(a) Commonwealth of Kentucky Immunization Certificate;

(b) Commonwealth of Kentucky Provisional Immunization Certificate;

(c) Commonwealth of Kentucky Certificate of Medical Exemption; or

(d) Commonwealth of Kentucky Certificate of Religious Exemption.

(4) If an immunization certificate that was not provided by the Cabinet for Health and Family Services is issued to a child, it shall:
(a) Be a hard copy or an electronically-produced copy;

(b) Be in the same size and format as a certificate provided by the Cabinet for Health and Family Services; and

(c) Contain at least the following information:

1. The name of the child;

2. The birthdate of the child;

3. The name of the parent or guardian of the child;

4. The address of the child, including street, city, state, zip code;

5. The type(s) of vaccine(s) administered to the child;

6. The date that each dose of each vaccine was administered;

7. Certification that the child is current for immunizations until a specified date, including a statement that the certificate shall not be valid after the specified date;

8. The signature and the date of the signature of:

a. A physician;

b. An advanced practice registered nurse;

c. A physician’s assistant;

d. A pharmacist;

e. Local health department administrator; or

f. A registered nurse designee of a physician, local health department administrator, or other licensed healthcare facility; and

9. The name of the healthcare provider practice, pharmacy, local health department, or licensed health care facility.

10. Immunizations included on the certificate shall only be those immunizations required for attending child day care centers, certified family child care homes, other licensed facilities which care for children, preschool programs, and public and private elementary or secondary schools as outlined in Section 2 of this administrative regulation. The certificate issued may have a separately titled additional page for all immunizations administered but not otherwise required for attending child day care centers, certified family child care homes, other licensed facilities which care for children, preschool programs, public and private elementary, and secondary schools.

(5) A completed immunization certificate shall:

(a) Be on file for a child:

1. Enrolled in a public or private primary or secondary school or preschool program; or

2. Cared for in:

a. A child day care center;

b. A certified family child care home; or

c. Other licensed facility that cares for children; and

(b) Be available for inspection and review by a representative of the Cabinet for Health and Family Services or a representative of a local health department.
 
Section 5. Effective Date.
 
This regulation shall become effective for the school year beginning on or after July 1, 2011 for all child day cares, certified family child care homes, other licensed facilities which care for children, preschool programs, public and private primary, and secondary schools.
 
Section 6. Incorporation by Reference.
 
(1) The following material is incorporated by reference:

(a) "Commonwealth of Kentucky Immunization Certificate (EPID 230)", revised 08/2010;  
 
(b) "Commonwealth of Kentucky Provisional Immunization Certificate (EPID 230A)", revised 08/2010;
 
(c) "Commonwealth of Kentucky Certificate of Medical Exemption (EPID 230B)", revised 08/2010"; and

(d) "Commonwealth of Kentucky Certificate of Religious Exemption (EPID 230C)", revised 08/2010.




Copyright 1982-2014 National Vaccine Information Center. All Rights Reserved.
21525 Ridgetop Circle, Suite 100 Sterling, VA 20166