Immunization Requirements

New Students

Hepatitis B (HBV)
Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
Poliomyelitis (IPV or OPV - final dose on or after the 4th birthday
Measles, Mumps, Rubella - 2 doses of each, normally given together as MMR
Varicella - 2 doses or credible history of disease
New students entering grades other than 7th grade are not required to have Tdap

Toddlers, Preschool, or Pre-Kindergarten

Hepatitis B (HBV)
Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
Poliomyelitis (IPV or OPV)
Haemophilus influenzae type B (Hib) - age younger than 5 years only
Pneumococcal conjugate vaccine (PCV) - age younger than 5 years only
Measles, Mumps, Rubella - 1 dose of each, normally given together as MMR
Varicella - 1 dose or credible history of disease
Hepatitis A - 1 dose, required by 18 months of age or older

Kindergarten

Hepatitis B (HBV)
Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
Poliomyelitis (IPV or OPV) - final dose on or after the 4th birthday
Measles, Mumps, Rubella - 2 doses of each, usually given together as
MMR
Varicella - 2 doses or credible history of disease
Hepatitis A - total of 2 doses, spaced at least 6 - 18 months apart

7th Grade

Tetanus-diphtheria-pertussis booster (Tdap) - evidence of one Tdap dose given before 7th grade entry (administered at or after age 10) is required regardless of Td history

About Immunizations

Children entering ECD, Kindergarten or Seventh grade and those enrolling in a Tennessee school for the first time should receive the immunizations listed above. Parents must also provide their child’s school with a state immunization certificate, which documents the vaccinations, before the first day of school.

Make Sure Your Child is Immunized

To have your child vaccinated at the health department, please call 865-215-5070 to schedule an appointment.

  • Please bring your (parent/guardian’s) photo ID, insurance card and your child’s vaccination record.
  • For questions about legal guardianship, please call 865-215-5070.
  • Most insurance plans cover preventive services such as vaccines, but parents are encouraged to confirm this with their insurance provider prior to the appointment.
  • Vaccines are available to children who do not have insurance at no cost. There is a minimal fee for administration.

Appointments are available at each KCHD location:

  • Main Offices and the Travel and Immunization Clinic, 140 Dameron Avenue, 865-215-5070
  • West Clinic, 1028 Old Cedar Bluff, 865-215-5950

For more information about Knox County Schools’ immunization policy, please call 865-594-3735 or visit the Health Services page on the Knox County Schools website at knoxschools.org.

To see if your child has the required immunizations, contact the medical office or clinic where your child receives vaccinations. You may also contact the Knox County Health Department at 865-215-5150 or [email protected].