IMMUNIZATION COMPLIANCE

Colorado law (Board of Health rule 6 CCR 1009-2) requires all students attending Colorado schools to be vaccinated against certain diseases, unless an exemption is filed. The minimum number and spacing of doses is set forth in the Advisory Committee on Immunization Practices (ACIP) Child and Adolescent Immunization Schedules. Meeting the initial vaccine requirements does not excuse a student from meeting additional requirements. In addition to the vaccines required for school entry, there are several vaccines recommended by the ACIP that provide protection against other diseases. These include Meningococcal, Hepatitis A, Rotavirus, Human papillomavirus and Influenza.

• Vaccines required to enter school (K-12)
• Hepatitis B (HepB).
• Diphtheria, tetanus, pertussis (DTaP).*
• Inactivated poliovirus (IPV).*
• Measles, mumps, rubella (MMR).*
• Varicella (chickenpox).*
• Tetanus, diphtheria, pertussis (Tdap).**

*Students 4 through 6 years of age are required to have their final doses of DTaP, IPV, MMR and Varicella prior to kindergarten entry.

**Students are required to have Tdap prior to entry into 6th grade. One dose of Tdap is required for 6th through 12th grades.

• Vacunas requeridas para el ingreso a la escuela (K-12):
• Hepatitis B (HepB).
• Difteria, tétanos y tos ferina (DTaP).*
• Poliovirus inactivado (IPV).*
• Sarampión, paperas y rubéola (MMR).*
• Varicela.*
• Tétanos, difteria y tos ferina (Tdap).**

1. 1. Exemptions: Parents/Guardians must file a certificate of exemption at each school a student attends. 
      1. To protect unvaccinated children, students with an exemption from one or more required vaccines may be kept out of a school or child care during a disease outbreak.
      2. Exemptions are confidential.
      3. Exemptions in CIIS are also confidential. If an exemption is consented to be placed in CIIS, there is always an ability to opt-out at any time.
   2. Medical exemptions
      1. Students with a completed Certificate of medical exemption signed by an advanced practice nurse, a physician assistant/associate, or physician licensed to practice medicine or osteopathic medicine in any state or territory of the United States will need to submit this Certificate only once unless the student’s information or school changes.
      2. You can submit a Certificate of medical exemption with CDPHE to include in the Colorado Immunization Information System (CIIS). 
      3. Per Colorado Revised Statutes 25-4-2403(2.5), immunizing providers must submit medical exemption data to CIIS.
      4. Certificate of Medical exemption

1. 1. Nonmedical exemptions: There are two ways to submit a nonmedical exemption. 
      1. Submit the Certificate of nonmedical exemption WITH a signature from an immunizing provider in Colorado who is a medical doctor, doctor of osteopathic medicine, advanced practice nurse, physician assistant/associate, registered nurse, or pharmacist (requires a medical visit). 

1. Submit the Certificate of nonmedical exemption received upon the completion of CDPHE’s Online Immunization Education Module.
1. We do not recommend using a mobile device to complete the course and form. Please use a desktop computer.
2. The Online Immunization Education Module is available 24 hours a day and seven days a week. It can take approximately 10-20 minutes to complete. 
3. At the completion of the module, you will be able to complete a form to obtain a Certificate of nonmedical exemption. You can complete this form for multiple children, by selecting the 'back' button and resubmitting the nonmedical exemption each time it appears.
4. Our district is not linked to the electronic delivery of this form. Parents must Print and/or screenshot this full form to turn in. 

1. Parents of students in grades K-12 claiming a nonmedical exemption must submit one annually. 
1. Nonmedical exemptions expire June 30th each year. 
2. If a Certificate of nonmedical exemption is submitted on or before June 30th, it will not be valid for the upcoming school year unless submitted during early registration.
3. Certificate of Nonmedical Exemption 

Immunization records are confidential, personal medical information. The Colorado Immunization Information System (CIIS) is a lifelong immunization record tracking system under the Colorado Immunization Registry Act of 2007.

CIIS has signed agreements with all participating sites that are authorized to provide information to or access information from CIIS. CIIS and all people and entities that access immunization records are required to maintain the confidentiality of those records.

Your child's immunization record could be in CIIS if they have received shots in Colorado and that healthcare provider entered that record into CIIS, or if you have given permission for your child's out-of-state record to be entered into CIIS, or if you have submitted a non-medical exemption into CIIS.

If you DO NOT want your child's CIIS record to be accessible to anyone (including doctors), you can choose to opt out of CIIS.  The form and instructions to complete the opt out are on the CDPHE website.  It would be your responsibility to get that completed form to CDPHE so that they can activate the opt out.

Please note:  If you opt out of CIIS and you submit a non-medical exemption online after watching the module, you will need to print or download the completed exemption form and get that to the school because we will not be able to see the exemption on CIIS.

CIIS y su privacidad:

¿Qué es el CIIS (Sistema de Información sobre Inmunización de Colorado)?

Los registros de vacunación son información médica personal y confidencial. El Sistema de Información de Inmunización de Colorado (CIIS) es un sistema de seguimiento de registros de vacunación de por vida según la Ley de Registro de Inmunización de Colorado de 2007.

CIIS ha firmado acuerdos con todos los sitios participantes que están autorizados a proporcionar información o acceder a información de CIIS. CIIS y todas las personas y entidades que acceden a los registros de vacunación deben mantener la confidencialidad de esos registros.

El registro de vacunación de su hijo podría estar en CIIS si recibió vacunas en Colorado y ese proveedor de atención médica ingresó ese registro en CIIS, o si usted dio permiso para que el registro de fuera del estado de su hijo se ingrese en CIIS, o si tiene presentó una exención no médica en CIIS.

Si NO desea que nadie pueda acceder al registro CIIS de su hijo (incluidos los médicos), puede optar por no participar en CIIS. El formulario y las instrucciones para completar la opción de exclusión se encuentran en el sitio web de CDPHE. Sería su responsabilidad enviar ese formulario completo al CDPHE para que puedan activar la opción de exclusión voluntaria.

Tenga en cuenta:  Si opta por no participar en CIIS y envía una exención no médica en línea después de ver el módulo, deberá imprimir o descargar el formulario de exención completo y enviarlo a la escuela porque no podremos ver la exención. en CIIS.