Hawaii Childcare Immunization Requirements (2026)

Hawaii childcare licensing requires age-appropriate Governed by HAR Title 11 Chapter 157 (Dept. of Health — Examination and Immunization Requirements); updates effective July 1, 2020; documented on a DOH-approved form (DOE Form 14) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Hawaii childcare licensing requires age-appropriate For children aged 2 years and older (the GCCH age range): DTaP — 4 doses immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Hawaii childcare licensing requires age-appropriate Hib (Haemophilus influenzae type b) — 3 to 4 doses (age-dependent) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Hawaii childcare licensing requires age-appropriate Hepatitis A — 2 doses immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Hawaii childcare licensing requires age-appropriate Hepatitis B — 3 doses immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Hawaii childcare licensing requires age-appropriate MMR (measles, mumps, rubella) — 1 dose immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Hawaii childcare licensing requires age-appropriate PCV (pneumococcal conjugate) — 4 doses immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Hawaii childcare licensing requires age-appropriate Polio (IPV) — 3 doses immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Hawaii childcare licensing requires age-appropriate Varicella (chickenpox) — 1 dose (documented history of disease signed by a practitioner may substitute) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Hawaii childcare licensing requires age-appropriate For children younger than 2 years, the number of required doses depends on the child's age (per HAR 11-157 Immunization Requirements Summary, Table 1) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Hawaii childcare licensing requires age-appropriate Physical examination within 12 months before first attendance, signed by a licensed practitioner (physician, APRN, or physician assistant) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Hawaii childcare licensing requires age-appropriate Serologic (lab) evidence of immunity may substitute for an immunization record for certain diseases immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Hawaii childcare licensing requires age-appropriate Medical and religious exemptions available with appropriate documentation immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Which vaccines does Hawaii require for childcare enrollment?

Hawaii requires age-appropriate immunization records for: Governed by HAR Title 11 Chapter 157 (Dept. of Health — Examination and Immunization Requirements); updates effective July 1, 2020; documented on a DOH-approved form (DOE Form 14), For children aged 2 years and older (the GCCH age range): DTaP — 4 doses, Hib (Haemophilus influenzae type b) — 3 to 4 doses (age-dependent), Hepatitis A — 2 doses, Hepatitis B — 3 doses, MMR (measles, mumps, rubella) — 1 dose, PCV (pneumococcal conjugate) — 4 doses, Polio (IPV) — 3 doses, Varicella (chickenpox) — 1 dose (documented history of disease signed by a practitioner may substitute), For children younger than 2 years, the number of required doses depends on the child's age (per HAR 11-157 Immunization Requirements Summary, Table 1), Physical examination within 12 months before first attendance, signed by a licensed practitioner (physician, APRN, or physician assistant), Serologic (lab) evidence of immunity may substitute for an immunization record for certain diseases, Medical and religious exemptions available with appropriate documentation.

Are immunization exemptions allowed in Hawaii?

Hawaii permits documented medical exemptions and, where state law allows, certain non-medical exemptions. Confirm the current exemption rules with the Hawaii Department of Human Services (DHS), Benefit, Employment and Support Services Division (BESSD) — Child Care Licensing Program.

When must immunization records be on file in Hawaii?

Hawaii requires up-to-date immunization documentation at enrollment, with records kept current in each child's file thereafter.