504.1 - Student Health and Immunization Certificates

Students desiring to participate in athletic activities will have a physical examination by a licensed physician and provide proof of such examination to the school district. A physical examination is recommended for students enrolling in kindergarten or first grade. A physical examination, and proof of such examination, may be recommended by district administration for students in other grades enrolling for the first time in the school district.

A copy of the physical examination form signed by the physician will be on file at the student’s attendance center. Each student will submit an up-to-date certificate of health upon the request of the superintendent [or designee]. Failure to provide this information may be grounds for disciplinary action.

Students enrolling for the first time in the school district will also submit a certificate of immunization against Diphtheria, Pertussis, Tetanus, Poliomyelitis, Rubeola, Rubella, Hepatitis B, Varicella, the meningococcal vaccine, and other immunizations required by law. The student may be admitted provisionally to the attendance center if the student has not yet completed the immunization process but is in the process of doing so. Failure to meet the immunization requirements after the provisional period will be grounds for suspension, expulsion, or denial of admission. Upon recommendation of the Iowa Department of Education and the Iowa Department of Health & Human Services, students entering the school district for the first time may be required to pass a TB test prior to admission. The school district may conduct TB tests of current students.

Exemptions from the immunization requirement in this policy will be allowed only for medical or religious reasons recognized under the law. The student must provide a valid Iowa Department of Health & Human Services Certificate of Immunization Exemption to be exempt from this policy.


Adopted: 6/70
Reviewed: 4/11; 4/12; 7/13; 10/14; 11/17; 12/20; 10/23
Revised: 11/07; 4/18
Related Policy: 504.1-E
Legal Reference (Code of Iowa): §§ 139A.8; 280.13; 281 IAC 33.5; 641 IAC 7
IASB Reference: 507.01

504.1-E - Immunization Requirements

Attention Parents and Guardians

All students entering the Linn-Mar Community School District are required by state law to meet at least the minimum immunization requirements before they are allowed to attend school. A record of these immunizations must be on file at the student’s attendance center.

No student will be allowed to attend school without the minimum
immunizations required by state law.

Minimum immunizations required to enroll in school are one dose of the following for elementary or secondary (K-12) students that are four years of age or older:

If your student was born on or after September 15, 2003:

  1. Diphtheria/Pertussis/Tetanus (DPT): Five doses with at least one dose of DPT received on or after four years of age;
  2. Polio: Four doses with at least one dose received on or after four years of age;
  3. Measles/Rubella: Two doses with the first dose received on or after 12 months of age and the second dose received no less than 28 days after the first dose or applicant demonstrates a positive antibody test for measles and rubella from a US laboratory;
  4. Hepatitis B: Three doses if the applicant was born on or after July 1, 1994; and
  5. Varicella (Chickenpox): Two doses received on or after 12 months of age unless the applicant has a reliable history of natural disease.

If your student was born after September 15, 2000; but before September 15, 2003:

  1. Diphtheria/Pertussis/Tetanus (DPT): Four doses with at least one dose of DPT received on or after four years of age;
  2. Polio: Three doses with at least one dose received on or after four years of age;
  3. Measles/Rubella: Two doses with the first dose received on or after 12 months of age and the second dose received no less than 28 days after the first dose or applicant demonstrates a positive antibody test for measles and rubella from a US laboratory;
  4. Hepatitis B: Three doses if the applicant was born on or after July 1, 1994; and
  5. Varicella (Chickenpox): One dose received on or after 12 months of age unless the applicant has a reliable history of natural disease.

If your student was born on or before September 15, 2000:

  1. Diphtheria/Pertussis/Tetanus (DPT): Three doses with at least one dose of DPT received on or after four years of age;
  2. Polio: Four doses with at least one dose received on or after four years of age;
  3. Measles/Rubella: Two doses with the first dose received on or after 12 months of age and the second dose received no less than 28 days after the first dose or applicant demonstrates a positive antibody test for measles and rubella from a US laboratory;
  4. Hepatitis B: Three doses if the applicant was born on or after July 1, 1994; and
  5. Varicella (Chickenpox): Two doses received on or after 12 months of age unless the applicant has a reliable history of natural disease.

If your student was born on or after September 15, 2000:

  1. Tetanus/Diphtheria/Acellular Pertussis: One-time dose containing vaccine (Tdap) for applicants in grades 7 and above regardless of the interval service the last tetanus/diphtheria containing vaccine.

Also Required – Meningococcal Vaccine:

  1. One dose received on or after 10 years of age for students entering 7th grade and above if born on or after September 15, 2004;
  2. Two doses received for students entering 12th grade if born on or after September 15, 1999; and
  3. One dose if received when the student is 16 years of age or older.

Provisional/Conditional Enrollment: If a student has begun immunizations but has not yet received all the required immunizations they may be able to attend school on a provisional or conditional basis. To qualify for provisional enrollment a student must have received at least one dose of each of the required immunizations. If a student falls into this category they must submit an Iowa Department of Health & Human Services Provisional Certificate of Enrollment to the school. This certificate expires in 60 days so the student must be completely immunized during this time or they will not be permitted to attend school until the immunizations have been received. When a student has received all of the required immunizations, they must submit a completed Certificate of Immunization to the school.


Adopted 6/96
Reviewed 7/13; 11/17; 12/20; 10/23
Revised 4/11; 10/14; 4/18
Related Policy: 504.01