New Hampshire Childcare Licensing
New Hampshire Childcare Immunization Requirements (2026)
Children enrolled in a licensed New Hampshire childcare center must show proof of age-appropriate immunization. New Hampshire requires documentation for 5 vaccine series, with limited medical and legally permitted exemptions.
Licensing Agency
New Hampshire Department of Health and Human Services, Child Care Licensing Unit (CCLU) →Last updated: April 2026
Researched by the TotReady Research TeamNew Hampshire Immunization Requirements: The Specifics
New Hampshire childcare licensing requires age-appropriate Documentation of acceptable immunization required for each child prior to admission to a child care agency, per RSA 141-C:20-a and He-P 301.14 (NH Immunization Requirements rule) immunization for enrolled children (subject to documented medical or legally permitted exemptions).
New Hampshire childcare licensing requires age-appropriate Required immunizations conform to the NH DHHS Division of Public Health Services schedule (He-P 301.14), following the ACIP/CDC childhood schedule (e.g., DTaP, IPV/polio, MMR, Hib, hepatitis B, varicella, pneumococcal) immunization for enrolled children (subject to documented medical or legally permitted exemptions).
New Hampshire childcare licensing requires age-appropriate Conditional enrollment permitted with documentation of at least one dose of each required vaccine plus the appointment date for the next due dose(s) immunization for enrolled children (subject to documented medical or legally permitted exemptions).
New Hampshire childcare licensing requires age-appropriate Medical exemption (licensed physician/health care provider certification) and religious exemption (signed NH Childcare/School Immunization Religious Exemption form) permitted under RSA 141-C:20-c immunization for enrolled children (subject to documented medical or legally permitted exemptions).
New Hampshire childcare licensing requires age-appropriate Health assessment / physical examination record required per He-C 4002.10 (Child Record Requirements) immunization for enrolled children (subject to documented medical or legally permitted exemptions).
New Hampshire Immunization Requirements Checklist
- Documentation of acceptable immunization required for each child prior to admission to a child care agency, per RSA 141-C:20-a and He-P 301.14 (NH Immunization Requirements rule)
- Required immunizations conform to the NH DHHS Division of Public Health Services schedule (He-P 301.14), following the ACIP/CDC childhood schedule (e.g., DTaP, IPV/polio, MMR, Hib, hepatitis B, varicella, pneumococcal)
- Conditional enrollment permitted with documentation of at least one dose of each required vaccine plus the appointment date for the next due dose(s)
- Medical exemption (licensed physician/health care provider certification) and religious exemption (signed NH Childcare/School Immunization Religious Exemption form) permitted under RSA 141-C:20-c
- Health assessment / physical examination record required per He-C 4002.10 (Child Record Requirements)
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New Hampshire Immunization Requirements: Frequently Asked Questions
Which vaccines does New Hampshire require for childcare enrollment?
New Hampshire requires age-appropriate immunization records for: Documentation of acceptable immunization required for each child prior to admission to a child care agency, per RSA 141-C:20-a and He-P 301.14 (NH Immunization Requirements rule), Required immunizations conform to the NH DHHS Division of Public Health Services schedule (He-P 301.14), following the ACIP/CDC childhood schedule (e.g., DTaP, IPV/polio, MMR, Hib, hepatitis B, varicella, pneumococcal), Conditional enrollment permitted with documentation of at least one dose of each required vaccine plus the appointment date for the next due dose(s), Medical exemption (licensed physician/health care provider certification) and religious exemption (signed NH Childcare/School Immunization Religious Exemption form) permitted under RSA 141-C:20-c, Health assessment / physical examination record required per He-C 4002.10 (Child Record Requirements).
Are immunization exemptions allowed in New Hampshire?
New Hampshire permits documented medical exemptions and, where state law allows, certain non-medical exemptions. Confirm the current exemption rules with the New Hampshire Department of Health and Human Services, Child Care Licensing Unit (CCLU).
When must immunization records be on file in New Hampshire?
New Hampshire requires up-to-date immunization documentation at enrollment, with records kept current in each child's file thereafter.
New Hampshire childcare licensing rules are amended regularly. This page is compiled from published New Hampshire administrative codes and statutes for informational purposes only — always verify current requirements with the New Hampshire Department of Health and Human Services, Child Care Licensing Unit (CCLU) before relying on them. TotReady provides information and document templates, not legal or regulatory advice.