Student Immunizations for Fall 2023 School Year

Colorado law (Board of Health rule 6 CCR 1009-2) requires all students attending Colorado schools and licensed child care facilities to be vaccinated against certain diseases, unless an exemption is filed. The required vaccines are as follows:



Child Care-Required Vaccines

School-Required Vaccines

Hepatitis B

Diphtheria, tetanus, pertussis (DTap)

Haemophilus influenzae type b (Hib)

Inactivated poliovirus (IPV)

Pneumococcal conjugate (PCV13) or polysaccharide(PPSV23)

Measles, mumps, rubella (MMR)

Varicella (chicken pox)

Hepatitis B

Diphtheria, tetanus, pertussis (DTap)*

Inactivated poliovirus (IPV)*

Measles, mumps, rubella (MMR)*

Varicella (chicken pox)*

Tetanus, diphtheria, pertussis (Tdap)**

*Students 4 through 6 years of age are required to have their final doses of DTaP, IPV,MMR and Varicella prior to kindergarten entry.

**Students are required to have Tdap prior to entry into 6th grade. One dose of Tdap is required for 6th through 12th grades.


In 2020, Senate Bill 20-163 was passed to create an “equal-effort” system, whereby parents seeking an non-medical exemption are required to submit the same kind of documentation as a parent seeking a medical exemption or a parent submitting their child’s immunization records to their school.The legislation created a Certificate of Non-Medical Exemption, which is maintained by the state health department, that needs to be submitted to the school. The Certificate must be obtained either from an immunizing provider who signs the form or through completion of an online educational module about vaccination. This Certificate can be completed once for child care, and must be completed again before kindergarten and every subsequent year that the parent still wishes to claim a non-medical exemption for their child.(Immunize Colorado)


In the fall of 2023, every child attending a Durango School District 9-R school or child care facility must have a complete immunization record or exemption submitted to their school, or the child will be unable to attend school until they are compliant with this state law. If you plan to have a Certificate of non-medical exemption for your child, please note that the date of the exemption must be on or after July 1, 2023 for the 23-24 school year. The online module may be accessed here:


Thank you for your attention to this matter.



Durango 9R Health Services