Superintendent's Memo #235-09

State seal, Commonwealth of Virginia

Department of Education

August 28, 2009

TO: Division Superintendents

FROM: Patricia I. Wright, Superintendent of Public Instruction

SUBJECT: 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 and sixth-grade student immunization data must be collected from each Virginia public school for the school year 2009-2010.

The Virginia Board of Health Regulations for the Immunization of School Children require the following:

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 students in his school. This report shall be filed on Form SIS 3, 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.

It is requested that all schools use the electronic Web-based reporting system. Detailed instructions for filling out the electronic form may be accessed at:

VDH is requesting submittal of documentation received for the Human Papillomavirus Vaccine (HPV) this year. You should report the number of girls enrolled in the sixth- grade, and if data are available, the number of those girls who have had one (or more) doses of HPV vaccine.

The report form can be completed online by going to the Virginia Department of Health's website at: The Department of Health has made modifications to the system for more efficient reporting. The password for public schools will be: pub*2009.

Please have the principal of each school that enrolls kindergarten and sixth-grade students complete the status report on or before October 15, 2009. Should you have additional questions, please contact Dr. Sandra Sommer, Division of Immunization, at (804) 864-8076 or, or Tia Campbell, school health specialist, at (804) 786-8671 or

PIW / tbc