Indiana Childcare Immunization Requirements (2026)

Indiana childcare licensing requires age-appropriate Documentation of complete age-appropriate immunizations as required by FSSA/the division with recommendation from the Indiana State Department of Health (ISDH/IDOH), updated annually (470 IAC 3-4.7-86; IC 12-17.2-4-18.1) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Indiana childcare licensing requires age-appropriate Conjugated pneumococcal vaccine (PCV) - statutorily required under IC 12-17.2-4-18.1 immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Indiana childcare licensing requires age-appropriate Varicella (chickenpox) vaccine, or demonstrated immunity to varicella - statutorily required under IC 12-17.2-4-18.1 (also 470 IAC 3-4.7-86) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Indiana childcare licensing requires age-appropriate Other age-appropriate immunizations per the ISDH schedule (e.g., DTaP, IPV polio, MMR, Hib, Hepatitis B; specific antigens beyond PCV and varicella are set by ISDH schedule rather than named in statute) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Indiana childcare licensing requires age-appropriate Medical exemption: child's physician indicates and updates the exception annually on the child's health record (470 IAC 3-4.7-86; IC 12-17.2-4-18.1) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Indiana childcare licensing requires age-appropriate Religious exemption: parent submits a signed written request based on religious beliefs, kept in the child's health record (470 IAC 3-4.7-86; IC 12-17.2-4-18.1) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Indiana childcare licensing requires age-appropriate Exemptions do not prevent the center from using emergency first aid or excluding a child when communicable disease control is necessary (470 IAC 3-4.7-86) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Indiana childcare licensing requires age-appropriate Written verification of a physical examination by a physician/qualified provider within 30 days after enrollment, or no earlier than 12 months prior to enrollment (470 IAC 3-4.7-86) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Which vaccines does Indiana require for childcare enrollment?

Indiana requires age-appropriate immunization records for: Documentation of complete age-appropriate immunizations as required by FSSA/the division with recommendation from the Indiana State Department of Health (ISDH/IDOH), updated annually (470 IAC 3-4.7-86; IC 12-17.2-4-18.1), Conjugated pneumococcal vaccine (PCV) - statutorily required under IC 12-17.2-4-18.1, Varicella (chickenpox) vaccine, or demonstrated immunity to varicella - statutorily required under IC 12-17.2-4-18.1 (also 470 IAC 3-4.7-86), Other age-appropriate immunizations per the ISDH schedule (e.g., DTaP, IPV polio, MMR, Hib, Hepatitis B; specific antigens beyond PCV and varicella are set by ISDH schedule rather than named in statute), Medical exemption: child's physician indicates and updates the exception annually on the child's health record (470 IAC 3-4.7-86; IC 12-17.2-4-18.1), Religious exemption: parent submits a signed written request based on religious beliefs, kept in the child's health record (470 IAC 3-4.7-86; IC 12-17.2-4-18.1), Exemptions do not prevent the center from using emergency first aid or excluding a child when communicable disease control is necessary (470 IAC 3-4.7-86), Written verification of a physical examination by a physician/qualified provider within 30 days after enrollment, or no earlier than 12 months prior to enrollment (470 IAC 3-4.7-86).

Are immunization exemptions allowed in Indiana?

Indiana permits documented medical exemptions and, where state law allows, certain non-medical exemptions. Confirm the current exemption rules with the Indiana Family and Social Services Administration (FSSA), Office of Early Childhood and Out-of-School Learning (OECOSL) - Bureau of Child Care.

When must immunization records be on file in Indiana?

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