North Dakota Childcare Immunization Requirements (2026)

North Dakota childcare licensing requires age-appropriate Diphtheria immunization for enrolled children (subject to documented medical or legally permitted exemptions).

North Dakota childcare licensing requires age-appropriate Pertussis (whooping cough) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

North Dakota childcare licensing requires age-appropriate Tetanus immunization for enrolled children (subject to documented medical or legally permitted exemptions).

North Dakota childcare licensing requires age-appropriate Measles immunization for enrolled children (subject to documented medical or legally permitted exemptions).

North Dakota childcare licensing requires age-appropriate Rubella (German measles) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

North Dakota childcare licensing requires age-appropriate Mumps immunization for enrolled children (subject to documented medical or legally permitted exemptions).

North Dakota childcare licensing requires age-appropriate Hepatitis B immunization for enrolled children (subject to documented medical or legally permitted exemptions).

North Dakota childcare licensing requires age-appropriate Haemophilus influenzae type b (Hib) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

North Dakota childcare licensing requires age-appropriate Varicella (chickenpox) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

North Dakota childcare licensing requires age-appropriate Poliomyelitis (polio) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

North Dakota childcare licensing requires age-appropriate Pneumococcal disease immunization for enrolled children (subject to documented medical or legally permitted exemptions).

North Dakota childcare licensing requires age-appropriate Meningococcal disease immunization for enrolled children (subject to documented medical or legally permitted exemptions).

North Dakota childcare licensing requires age-appropriate Rotavirus immunization for enrolled children (subject to documented medical or legally permitted exemptions).

North Dakota childcare licensing requires age-appropriate Hepatitis A immunization for enrolled children (subject to documented medical or legally permitted exemptions).

North Dakota childcare licensing requires age-appropriate Age-appropriate immunization required before admission per N.D.C.C. 23-07-17.1 and N.D. Admin. Code ch. 33-06-05 (early childhood/school immunization requirements; proof of immunization or certificate due within 30 calendar days of enrollment for early childhood facilities); medical exemption by licensed physician, or religious/philosophical/moral exemption by parent/guardian certificate, permitted with documentation; verification of immunization or exemption kept on file per N.D. Admin. Code 75-03-10-22(2)(f) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Which vaccines does North Dakota require for childcare enrollment?

North Dakota requires age-appropriate immunization records for: Diphtheria, Pertussis (whooping cough), Tetanus, Measles, Rubella (German measles), Mumps, Hepatitis B, Haemophilus influenzae type b (Hib), Varicella (chickenpox), Poliomyelitis (polio), Pneumococcal disease, Meningococcal disease, Rotavirus, Hepatitis A, Age-appropriate immunization required before admission per N.D.C.C. 23-07-17.1 and N.D. Admin. Code ch. 33-06-05 (early childhood/school immunization requirements; proof of immunization or certificate due within 30 calendar days of enrollment for early childhood facilities); medical exemption by licensed physician, or religious/philosophical/moral exemption by parent/guardian certificate, permitted with documentation; verification of immunization or exemption kept on file per N.D. Admin. Code 75-03-10-22(2)(f).

Are immunization exemptions allowed in North Dakota?

North Dakota permits documented medical exemptions and, where state law allows, certain non-medical exemptions. Confirm the current exemption rules with the North Dakota Department of Health and Human Services, Early Childhood Services (Early Childhood Licensing unit).

When must immunization records be on file in North Dakota?

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