COMMONWEALTH OF VIRGINIA
DEPARTMENT OF EDUCATION
P.O. BOX 2120
RICHMOND, VIRGINIA 23218-2120
SUPTS. MEMO NO. 215
October 22, 2004
Jo Lynne DeMary
Superintendent of Public Instruction
Virginia Department of Health Student Immunization Status Report
The Virginia Department of Education has been asked by the Virginia Department of Health (VDH) Office of Epidemiology, Division of Immunization, to remind school divisions that kindergarten student immunization data must be collected from each Virginia public school.
The Virginia Board of Health Regulations for the Immunization of School Children require that:
Each admitting official shall, within 30 days
of the beginning of each school year of entrance
of a student, or by October 15 of each school
year, file with the State Health Department through the health department for his locality, a report summarizing the immunization status of the students
in his school. This report shall be filed on Form
SIS 1, the Student Immunization Status Report, and shall contain the number of students admitted to that school with documentary proof of immunization, the number of students who have been admitted with a medical or religious exemption, and the number of students who have been conditionally admitted.
The attached information provides guidance on the completion of the Virginia Department of Health Student Immunization Status Report Form (SIS 3).
The report form can be completed online by directly going to the URL or through the Virginia Department of Healths website. The direct URL access is: http://www.vdh.state.va.us/imm/sis_form.asp
To access through the VDH website:
Please have the principal of each school that enrolls kindergarten students complete the status report on or before November 15, 2004. Should you have additional questions, please contact Dr. James Farrell, Director of Division of Immunization at (804) 864-8055, jim.Farrell@vdh.virginia.gov or Gwen P. Smith at (804) 786-8671, firstname.lastname@example.org.