Vision/Dental Screening & Immunization Requirements

Immunization Requirements

Iowa Immunization Requirements for School Entry

Before entering the indicated grade level, the student must have documentation of the required doses of each vaccine listed below. 



5 doses with a least one dose after the age of 4 



4 doses with at least one dose after the age of 4 



2 doses or proof of having chickenpox 



1st dose after 12 months of age and a booster at least 30 days later 


Hepatitis B 

3 doses of hepatitis B are required prior to enrollment in kindergarten. The 3rd dose must be given after 24 weeks of age. 


Tetanus/Diptheria/Acellular Pertussis (TDaP) 

1  dose


Meningococcal (A, C, W, Y) 

1 dose


Meningococcal (A, C, W, Y) 

2 doses

Any new student with no immunization record must show proof of beginning a vaccine schedule. 

7th & 12th-Grade Immunization Requirements 

Iowa Immunization Law requires that all students entering 7th grade have both a Meningococcal vaccination and a Tdap (Tetanus, Diphtheria, and Pertussis/whooping cough) vaccination before school starts in the fall. 

Iowa law requires that all students entering 12th grade have a Meningococcal vaccination. The requirement is 2 doses of meningococcal (A, C, W, Y) vaccine for students in grade 12, if born after September 15, 1999; or 1 dose if received when students are 16 years of age or older. One dose is required before school starts in the fall. 

The Tdap requirement has been in place since the 2013/14 school year and requires a booster dose of Tetanus, Diphtheria, and acellular Pertussis containing vaccine for students entering 7th grade, regardless of the interval since the last Tetanus/Diphtheria containing vaccine. Pertussis (whooping cough) is a very contagious disease that causes violent coughing fits that make it hard to breathe. 

The meningococcal vaccine has been required since the start of the 2017/18 school year. Meningococcal disease is a life-threatening illness that is caused by bacteria that infects the brain, blood, and spinal cord. It easily spreads in crowded settings. The vaccine is required prior to both the 7th and 12th grades. 

What does this mean for you? You will need to call your physician’s office to make an appointment for these vaccines. You will need to check your home records or call your physician’s office to see what your student’s status is. If you do not have insurance, you can contact the Siouxland District Health Department at 279-6119. Please send a copy of your student’s updated immunization record to the school nurse prior to the first day of school. Thank you in advance for your cooperation in this matter. 

Schedule an Immunization Appointment: 

If you need to schedule a vaccine appointment, please call Siouxland District Health at (712) 279-6119 or call your family physician. 

In addition, pharmacies at HyVee, Walmart, Walgreens, and Shopko may be able to provide these vaccines. These pharmacies accept most insurance, except Medicaid, and require a prescription from your child’s doctor. In most cases, no appointment is necessary. However, if you need assistance getting a physician order, please call the pharmacy in advance and request assistance. 

To access immunization forms, visit the Medical Forms page.

Vision Screening Requirements 

Iowa Vision Screening Requirements for School Entry

Before entering the indicated grade level, the student must provide documentation of a vision screening. 

Kindergarten & 3rd-Grade Students 

According to Iowa law, all children enrolling in kindergarten and 3rd grade are required to provide evidence of a vision screening no earlier than 1 year prior to enrollment and no more than 6 months after the date of your student’s enrollment. Vision screening forms are available through eye care professional, from your school nurse, or by visiting the Medical Forms page.

Dental Screening Requirements

Iowa Dental Screening Requirements for School Entry 

Before entering the indicated grade level, the student must provide documentation of a dental screening. 

Kindergarten & 9th-Grade Students 

According to Iowa law, all Iowa children enrolling for the first time in Kindergarten or 9th grade must have a dental screening on file. It’s required per Iowa law! According to this law: Screening for kindergarten is valid from 3 years of age to 4 months after the enrollment date and screening for 9th grade is valid from 1 year prior to enrollment to 4 months after the enrollment date. Screenings can be performed by dentists or dental hygienists. 

To access dental screening forms, visit the Medical Forms page. Have a dental hygienist fill out the dental screening form and return the form to your child’s school.