TITLE 36. PUBLIC HEALTH AND SAFETY
CHAPTER 7.1. CHILD CARE PROGRAMS
ARTICLE 1. DAY CARE CENTERS
A.R.S. § 36-883 (2002)
§ 36-883. Standards of care; rules; classifications
A. The director of the department of health services shall prescribe reasonable rules regarding the health, safety and well being of the children to be cared for in a child care facility. These rules shall include standards for the following:
C. Any rule that relates to educational activities, physical examination, medical treatment or immunization shall include appropriate exemptions for children whose parents object on the ground that it conflicts with the tenets and practices of a recognized church or religious denomination of which the parent or child is an adherent or member.
TITLE 15. EDUCATION
CHAPTER 8. SCHOOL ATTENDANCE
ARTICLE 6. SCHOOL IMMUNIZATION
A.R.S. § 15-872 (2002)
§ 15-872. Proof of immunization; noncompliance; notice to parents; civil immunity
A. The director of the department of health services, in consultation with the superintendent of public instruction, shall develop by rule standards for documentary proof.
B. A pupil shall not be allowed to attend school without submitting documentary proof to the school administrator unless the pupil is exempted from immunization pursuant to section 15-873.
C. Each public school shall make full disclosure of the requirements and exemptions as prescribed in sections 15-872 and 15-873.
D. On enrollment, the school administrator shall suspend that pupil if the administrator does not have documentary proof and the pupil is not exempted from immunization pursuant to section 15-873.
E. Notwithstanding subsections B and D of this section, a pupil may be admitted to or allowed to attend a school if the pupil has received at least one dose of each of the required immunizations prescribed pursuant to section 36-672 and has established a schedule for the completion of required immunizations. The parent, guardian or person in loco parentis of a pupil shall present to the school administrator documentary proof of the immunizations received and a schedule prepared by the pupil's physician or a health agency for completion of additional required immunizations.
F. The school administrator shall review the school immunization record for each pupil admitted or allowed to continue attendance pursuant to subsection E of this section at least twice each school year until the pupil receives all of the required immunizations and shall suspend a pupil as prescribed in subsection G of this section who fails to comply with the immunization schedule. Immunizations received by a pupil shall be entered in the pupil's school immunization record.
G. Unless proof of an exemption from immunization pursuant to section 15-873 is provided, a pupil who is admitted or allowed to continue to attend and who fails to comply with the immunization schedule within the time intervals specified by the schedule shall be suspended from school attendance until documentary proof of the administration of another dose of each appropriate immunizing agent is provided to the school administrator.
H. The provisions of subsections B, D and E of this section do not apply to homeless pupils until the fifth calendar day after enrollment.
I. A school and its employees are immune from civil liability for decisions concerning the admission, readmission and suspension of a pupil which are based on a good faith implementation of the requirements of this article.
A.R.S. § 15-873 (2002)
§ 15-873. Exemptions; nonattendance during outbreak
A. Documentary proof is not required for a pupil to be admitted to school if one of the following occurs:
1. The parent or guardian of the pupil submits a signed statement to the school administrator stating that the parent or guardian has received information about immunizations provided by the department of health services, understands the risks and benefits of immunizations and the potential risks of non-immunization and that due to personal beliefs, the parent or guardian does not consent to the immunization of the pupil.
2. The school administrator receives written certification which is signed by the parent or guardian and by a physician, which states that one or more of the required immunizations may be detrimental to the pupil's health and which indicates the specific nature and probable duration of the medical condition or circumstance which precludes immunization.
B. An exemption pursuant to subsection A, paragraph 2 is only valid during the duration of the circumstance or condition which precludes immunization.
C. Pupils who lack documentary proof of immunization shall not attend school during outbreak periods of communicable immunization-preventable diseases as determined by the department of health services or local health department. The department of health services or local health department shall transmit notice of this determination to the school administrator responsible for the exclusion of the pupils.
§ 36-672. Immunizations; department rules
A. Consistent with section 15-873, the director shall adopt rules prescribing required immunizations for school attendance, the approved means of immunization and indicated reinforcing immunizations for diseases, and identifying types of health agencies and health care providers which may sign a laboratory evidence of immunity. The rules shall include the required doses, recommended optimum ages for administration of the immunizations, persons who are authorized representatives to sign on behalf of a health agency and other provisions necessary to implement this article.
B. The director, in consultation with the superintendent of public instruction, shall develop by rule standards for documentary proof.
A.R.S. § 36-674 (2002)
§ 36-674. Providing proof of immunization
A physician, local health department or school nurse administering an immunization shall furnish documentary proof of immunization to the person immunized or, if that person is a child, to the child's parent or guardian or the person in loco parentis of the child.
ARIZONA ADMINISTRATIVE CODE
TITLE 9. HEALTH SERVICES
CHAPTER 6. DEPARTMENT OF HEALTH SERVICES: COMMUNICABLE DISEASES
ARTICLE 7. VACCINE-PREVENTABLE DISEASES
A.A.C. § R9-6-702 (2002)
R9-6-702. Required Immunizations for Child Care or School Entry
A. Except as provided in R9-6-706, a school administrator or child care administrator shall:
1. Ensure that a child attending a school or child care has been immunized against each of the following diseases according to Table 1 or Table 2:
a. Diphtheria;
b. Tetanus;
c. Hepatitis A, for a child 2 through 5 years of age in child care in Maricopa County;
d. Hepatitis B;
e. Pertussis;
f. Poliomyelitis;
g. Measles (rubeola);
h. Mumps;
i. Rubella (German Measles); and
j. Haemophilus influenzae type b; and
2. If a child does not have proof of immunization according to Table 1 or Table 2, exclude the child from:
a. School entry; or
b. Child care, unless the child is immunized against the diseases listed in subsection (A)(1) within 15 days following entry.
B. Unless exempt according to R9-6-706, a child who has received a first dose of MMR but has not received a second dose of MMR shall:
1. Receive the second dose according to Table 2 and the following:
a. By September 1, 2002 for a child attending kindergarten through 4th grade or 7th through 9th grade;
b. By September 1, 2003 for a child attending kindergarten through 5th grade or 7th through 10th grade;
c. By September 1, 2004 for a child attending kindergarten through 11th grade; and
d. By September 1, 2005 for a child attending kindergarten through 12th grade; and
2. Be excluded from school entry by a school administrator until the requirements in Table 2 are met.
C. Unless exempt according to R9-6-706, a child who has not completed the three-dose Hep B series specified in Table 1 or 2 shall:
1. Receive the remaining doses according to Table 2 and the schedule in subsection (B)(1)(a) through (B)(1)(d), and
2. Be excluded from school entry by a school administrator until the requirements in Table 2 are met.
D. If the Department receives written notification from the CDC that there is a shortage of a vaccine for a disease listed in subsection (A)(1), or that the CDC is limiting the amount of a vaccine for a disease listed in subsection (A)(1), the Department shall:
1. Provide written notification to each school and child care in this state of the shortage or limitation of the vaccine;
2. Suspend compliance with subsections (A), (B), and (C); and
3. Upon receiving written notification from the CDC that the vaccine is available, notify each school and child care in this state:
a. That the vaccine is available, and
b. Of the time by which an individual is required to comply with subsections (A), (B), and (C).
E. The Department shall notify each school and child care in this state that the Department no longer requires compliance with subsections (A), (B), and (C) for a disease listed in subsection (A)(1) if:
1. The disease is declared eradicated by:
a. The World Health Organization, and
b. The Advisory Committee on Immunization Practices; and
2. The Department no longer recommends immunization against the disease.
A.A.C. § R9-6-706 (2002)
R9-6-706. Exemptions to Immunizations
A. A child who has reached a 5th birthday is exempt from the Hib immunization requirement.
B. A child who has reached a 7th birthday is exempt from the pertussis immunization requirement.
C. A child who submits laboratory evidence of immunity to a disease to a school or child care is not required to be immunized against that disease as a condition for school or child care entry.
D. A child attending a school, who submits documentary proof of exemption from immunization for personal beliefs that contains the information in A.R.S. § 15-873(A)(1), is exempt from the immunization requirements in this Article.
E. A child attending child care, who submits a written document for exemption from immunization that contains the child's name, the child's date of birth, a statement that the exemption is based upon religious beliefs, and the responsible person's signature is exempt from the immunization requirements in this Article.
F. If a medical exemption is obtained, a physician shall identify each vaccine that is exempted.
1. The physician shall designate the exemption as either permanent or temporary.
2. If designated as a permanent medical exemption, the medical exemption lasts indefinitely.
3. If designated as a temporary medical exemption, a physician shall specify the date of termination of the temporary medical exemption.
a. A school or child care shall allow a child with a temporary medical exemption to attend school or child care until the exemption terminates.
b. A school administrator or a child care administrator shall notify the responsible person in writing of the date by which the child is required to complete all immunizations for which the child has a temporary medical exemption.
G. A school administrator or child care administrator shall record an exemption on the child's immunization record.
The U.S. State of Arizona 
Medical exemptions
