Immunizations
2025-2026 Missouri Immunization Requirements
All children must provide proof of up-to-date immunizations, showing the month, day, and year for each vaccine before attending child care, preschool, or school.
Immunization Requirements
Before the first day of school, please ensure your child meets the following requirements:
Required additional vaccinations for 8th & 12th grade students:
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8th Grade: Tdap and MCV (Meningococcal) vaccines
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12th Grade: 2nd MCV vaccine
General Guidelines:
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Vaccines may be administered up to 4 days early per ACIP guidelines.
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All immunizations must follow the CDC-recommended schedule and spacing.
View CDC Vaccine Schedules -
Students who are “in progress” must have a completed Immunizations In Progress form (Imm.P.14) on file and must not miss scheduled vaccine appointments.
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Medical (Imm.P.12) and Religious (Imm.P.11/11A) exemptions are accepted with completed forms on file.
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During outbreaks of vaccine-preventable diseases, unimmunized students may be excluded from school or child care.
Additional Notes:
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Final DTaP and Polio doses must be given after the 4th birthday with proper spacing.
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MCV: First dose must be given after age 10; second dose required after age 16, if applicable.
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MMR and Varicella: If not administered on the same day, they must be spaced at least 28 days apart (no 4-day grace period for live vaccines).
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Chickenpox (Varicella): If no vaccine was given, a licensed healthcare provider must document disease history.
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In child care/preschool, children following ACIP timing may receive more doses than the minimum required.
Submit immunization records to:
📧 enrollment@mjays.us
Questions? Contact:
Christina Roberts, BSN, RN
Health Services Director
📧 christina.roberts@mjays.us
📞 417-859-2120 ext. 4525
Required Vaccines by Grade:
| Vaccine | Preschool |
K-7th |
8th - 11th |
12th |
|---|---|---|---|---|
| DTaP/DTP/DT | 4+ doses | 4+ doses | 4+ doses | 4+ doses |
| Tdap (with pertussis) | — | — | 1 dose | 1 dose |
| MCV (Meningococcal Conjugate) | — | — | 1 dose | 2 doses |
| IPV (Polio) | 3+doses | 3+ doses | 3+ doses | 3+ doses |
| MMR (Measles, Mumps, Rubella) | 1 dose | 2 doses | 2 doses | 2 doses |
| Hepatitis B | 3+doses | 3+ doses | 3+ doses | 3+ doses |
| Varicella (Chickenpox) | 1 dose | 2 doses | 2 doses | 2 doses |