New Hampshire school vaccine requirements, exemptions & schedule
United States · NH
Last updated: 2026-11-01
💉 Vaccination Schedule
2 months
4 months
6 months
May be given at 6–18 months
(opens in a new tab) 💉 Hib Dose 3Depending on product
(opens in a new tab) 💉 PCV (Pneumococcal) Dose 3 (opens in a new tab) 💉 Rotavirus Dose 3Depending on product
(opens in a new tab) 💉 Hepatitis B Dose 36–18 months
(opens in a new tab) 💉 Influenza AnnualFrom 6 months annually
(opens in a new tab) 💉 COVID-19 Per current guidanceFrom 6 months
(opens in a new tab)12–15 months
15–18 months
4–6 years
11–12 years
🏫 School & Institutional Requirements
▶ 🏫 Public Schools (K–12)
New Hampshire RSA 141-C:20-a and He-P 301.13-14 require DTaP (5 doses), Polio (4 doses), MMR (2 doses), Hepatitis B (3 doses), Varicella (2 doses), Tdap (grade 7), and Meningococcal (grade 7+). New Hampshire's immunization registry (NHIIS) tracks school compliance.
▶ 🏛 Private Schools
New Hampshire's school immunization law applies to all public and private schools. Religious exemption available per RSA 141-C:20-c.
▶ 👶 Daycare / Child Care
Licensed child-care facilities require DTaP, Polio, Hib, PCV, MMR, Varicella, Hepatitis B, and Hepatitis A per NH child-care licensing (He-C 4000).
▶ 🎓 Postsecondary / University
University System of New Hampshire requires MMR (2 doses) and varicella (2 doses). Meningococcal vaccine required for residential students.
▶ 🏥 Healthcare Workers
New Hampshire follows CDC guidelines. Hepatitis B per OSHA. Influenza vaccination recommended.
📊 Required Vaccines by Setting
| DTaP / Tdap | ✓ | ✓ | — | View → (opens in a new tab) |
| Hepatitis A | — | ✓ | — | View → (opens in a new tab) |
| Hepatitis B | ✓ | ✓ | — | View → (opens in a new tab) |
| Hib | — | ✓ | — | View → (opens in a new tab) |
| Influenza | — | — | — | View → (opens in a new tab) |
| Meningococcal | ✓ | — | ✓ | View → (opens in a new tab) |
| MMR | ✓ | ✓ | ✓ | View → (opens in a new tab) |
| PCV (Pneumococcal) | — | ✓ | — | View → (opens in a new tab) |
| Polio (IPV) | ✓ | ✓ | — | View → (opens in a new tab) |
| Varicella | ✓ | ✓ | ✓ | View → (opens in a new tab) |
📝 Vaccine Exemptions
🏥 Medical
AvailableFor medical contraindications
Documentation: Submit a letter on letterhead from a licensed physician (MD/DO), APRN or physician associate certifying that immunization against a particular disease may be detrimental to the child's health to the school.
Renewal: According to provider's determination.
Approving authority: MD, DO, APRN, or PA
🔗 RSA 141-C:20-c Exemptions (no state form) → (opens in a new tab)Link verified on 2026-11-01
🙏 Religious
AvailableFor religious beliefs
Documentation: Parent/guardian completes and signs the New Hampshire Childcare/School Immunization Religious Exemption Form. Submit to school.
Renewal: Not stated in the official sources we read. Check each school year and confirm with the school or health department.
Approving authority: Parent/guardian
🔗 New Hampshire Childcare/School Immunization Religious Exemption Form → (opens in a new tab)✋ Personal Belief
Not AvailableFor philosophical or personal convictions
🏠 Homeschool Information
Requirements
New Hampshire does not require immunization for homeschool students. Under New Hampshire RSA 141-C:20-a, immunization requirements apply to students 'enrolled in any school, pre-school, or child care agency,' and RSA 193-A (home education statute) does not classify home education programs as 'schools' for immunization purposes.
Reporting
No immunization reporting required for homeschool students. The home education notification process does not include immunization documentation.
Exemptions
Not applicable — homeschool students are exempt. New Hampshire allows medical and religious exemptions for school-attending students.
Notes
New Hampshire Department of Education home education guidance confirms that immunization requirements do not apply to home-educated students.
🔗 Official Government Resources
📅 Recent Legislative & Policy Changes
2026-07-01
New Hampshire immunization data added to Parent Decision Center.
🔬 Related Vaccine Evidence Pages
Each card links to the full VaccineDataNavigator evidence page — including clinical trials, data, pharmacovigilance, ingredients, and references.
❓ Frequently Asked Questions
▶ What vaccines are required for kindergarten and school in New Hampshire?
New Hampshire RSA 141-C:20-a and He-P 301.13-14 require DTaP (5 doses), Polio (4 doses), MMR (2 doses), Hepatitis B (3 doses), Varicella (2 doses), Tdap (grade 7), and Meningococcal (grade 7+). New Hampshire's immunization registry (NHIIS) tracks school compliance. Source: New Hampshire Department of Health & Human Services.
▶ What vaccines does New Hampshire require for daycare and preschool?
Licensed child-care facilities require DTaP, Polio, Hib, PCV, MMR, Varicella, Hepatitis B, and Hepatitis A per NH child-care licensing (He-C 4000).
▶ Does New Hampshire allow religious or personal-belief vaccine exemptions?
New Hampshire allows medical and religious exemptions; personal-belief exemptions are not available. Religious exemption requires a signed state form.
▶ How do I get a vaccine exemption in New Hampshire?
Medical: Submit a letter on letterhead from a licensed physician (MD/DO), APRN or physician associate certifying that immunization against a particular disease may be detrimental to the child's health to the school. Religious: Parent/guardian completes and signs the New Hampshire Childcare/School Immunization Religious Exemption Form. Submit to school. Official forms and links for every state and province are in the exemption forms directory.
▶ What vaccines are required for college in New Hampshire?
University System of New Hampshire requires MMR (2 doses) and varicella (2 doses). Meningococcal vaccine required for residential students.