Hawaiʻi State Law requires all students to meet physical examination, immunization, and tuberculosis clearance requirements before attending a childcare facility, preschool, or public or private school in the state. We work in partnership with the Department of Health to ensure that students meet the key health requirements.
health requirements
All children attending school in Hawaiʻi must have a signed and completed Student’s Health Record (PDF) to document the following:
Tuberculosis (TB) clearance
Please see below and visit the Hawaiʻi State Department of Health (DOH) website for more information.
- Acceptable Clearance (PDF)
- Frequently Asked Questions about TB Testing for Students, Children and School/Child Care (PDF)
- Sample Forms: DOH Sample Form (PDF) | TB Document F: State of Hawaiʻi TB Clearance Form (PDF) (page 12, TB manual)
Physical Examination
Must be completed within one year before:
- First date of attendance at a preschool or school in Hawaiʻi and
- First date of attendance in the seventh grade.
Immunizations
- Required immunizations (PDF) depend on the age and/or grade of the student.
- Children may be exempt from immunization requirements for medical or religious reasons, if the appropriate documentation is presented to the school. Religious exemption forms may be completed at your child’s school. Medical exemptions must be obtained from your child’s healthcare provider. No other exemptions are allowed by the state.
Medications
If your child requires emergency rescue medications or other daily/routine prescribed medications, please fill out a School Health Form and submit it to the school.
A student who does not have documentation of all the required immunizations or a physical examination may be allowed provisional entry with verification of an upcoming medical appointment.
children in unstable housing
If your child is experiencing unstable housing (per the McKinney-Vento Act) or is an undocumented immigrant, refugee, or seeking asylum (as established by Plyer v. Doe), they may enroll and attend class while a school arranges for the transfer of health records or while a Community Homeless Concerns Liaison assists the student in meeting health requirements.