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Shot Records

To obtain a copy of your shot record for yourself or for your underage child, please visit our OSIIS Public Portal.

If you are unable to obtain an immunization record please email OSIISHelp@health.ok.gov with the following information:

  • Full Name (please include maiden name if applicable)
  • Date of Birth
  • Parent/Guardian Name (if under the age of 18)
  • Maiden Name of the mother (if under the age of 18)
  • Email Address
  • Cell Phone # (number must be able to receive texts)
  • Home Address
  • A photo of the front of your driver's license or official ID

Once this information is verified in OSIIS, you will receive an email with further instructions.

This section provides resources and information for parents, school administrators and staff, on immunization requirements for school and child care centers in Oklahoma. It will help you understand, enforce and comply with Oklahoma’s vaccination requirements and educate students about vaccine-preventable diseases and vaccines.

School immunization laws are one of the most effective ways to prevent disease outbreaks and protect our children from vaccine-preventable diseases.  Outbreaks of diseases such as diphtheria, polio, and measles were common in schools before vaccines were available.  Schools were major sites for transmission of these diseases.  School immunization laws work and now these diseases have almost vanished from the United States.  We all have our parents and grandparents to thank for supporting these laws.  If we keep vaccinating our children we can look forward to a future when these diseases will be eradicated.

  • Vaccination of school-age children is one of the most important ways we can protect children against vaccine-preventable diseases.

  • In 1980 an outbreak of measles in Oklahoma resulted in 775 cases of measles and one death. The majority of the measles cases occurred in school-aged children.

  • Some children, for medical reasons, such as compromised immune systems, cannot receive all vaccines. These children must rely on the community to help protect them from exposure to these diseases by community wide vaccination.

  • School vaccine requirements ensure that most people are protected through immunization.

  • Since contagious diseases spread among susceptible people, vaccination reduces the chance of infection and outbreaks in schools and communities by reducing the number of unprotected people.

  • Watch an animation demonstrating herd immunity at this web site: History of Vaccines.

The Oklahoma Immunization Act was passed by the state legislature in 1970.  It requires all students to meet immunization requirements before they enter or attend any public or private school in the state. The law states that the Oklahoma State Board of Health will establish the regulations specifying which vaccines and how many doses of each vaccine are required.

The immunization requirements are specified by the State Board of Health. The regulations specify in detail:

  • What vaccines are required,

  • How many doses of each vaccine are required,

  • The minimum intervals of time that are needed between doses and the minimum ages for vaccine doses,

  • How parents or guardians can obtain an exemption to a vaccine for their child, and

  • What is needed to document immunity to a disease.

The Oklahoma State Board of Health changes the regulations when new vaccines become available and as old vaccines are no longer needed because the diseases have been controlled or eliminated. 

Oklahoma law requires parents/guardians of all children attending school, child care facilities, and Head Start programs in this state to submit immunization documentation. This documentation is required before the child is allowed to enter or attend school, child care or Head Start. 

Take one or more of the following to school:

  • A record of your child's vaccinations.
  • A record showing your child is in the process of receiving the required vaccines.
Additionally:
  • Students must complete the vaccines on schedule.  
  • Obtain a schedule to complete the vaccines from your health care provider or clinic and give a copy to the school.

If a Vaccination Exemption is needed:

  • Oklahoma law allows exemptions for medical, religious or personal reasons. 
  • There is no legal penalty for parents/guardians who obtain exemptions for these reasons. However, unvaccinated children are at greater risk of catching diseases and might be excluded from school, child care or Head Start programs for the duration of a disease outbreak if one occurs. 
  • Children with specific medical contraindications to any or all immunizations may be allowed to attend if the medical reason is stated and this statement is signed by a licensed physician and submitted to the school, child care facility or Head Start program. Children whose parents object to immunizations based on religious teachings or personal beliefs may seek an exemption. 
  • Lost immunization records are not grounds for an exemption. Parents who have lost their child’s records should contact their local health department or family physician/health care provider. The nurse or doctor can interpret past immunization history, provide any needed immunizations, and create a record for the parent that can then be submitted to the school, child care facility or Head Start program and transcribed for the student’s record. 
  • In the case of a disease outbreak in a school, representatives of the Oklahoma State Department of Health or local health department will visit the school, thoroughly review student immunization records, and make recommendations to the Commissioner of Health on whether students with exemptions should be excluded from school or school functions for the duration of the outbreak. 
  • The Commissioner of Health has the authority to exclude students with exemptions from school for the duration of a disease outbreak. This decision is usually based on the risk of disease transmission in the facility. The risk of transmission depends on the characteristics of the disease and the potential number of susceptible people who could be exposed to it. 
Online Portal: Request an Immunization Exemption

Process to Submit an Online Immunization Exemption Request

  1. Create an account.
  2. Submit your exemption online through the portal.
  3. Upon receiving your completed request, Immunization Service will review it and either approve or deny it within 1-3 Business Days.
  4. Upon Immunization Service's approval of your exemption request, you will receive an email notice requiring you to log back into the portal to download the approved exemption certificate. 
  5. Parents/Guardians will be responsible for providing the approved exemption certificate to their child's school, child care facility or Head Start program.
  • County health departments and private doctors do not provide exemption certificates.
  • Exemption submissions and certificates cannot be submitted or obtained in-person at the Oklahoma State Department of Health. 
  • DISCLAIMER: The Immunization Service reviews all exemptions and approves or disapproves them. If the exemption is not approved, the parent/guardian must complete and submit another exemption request or present an immunization record for the child to attend school, child care or Head Start program.

Process to Submit a Mailed-in Immunization Exemption Request

  • Certificate for Vaccine Exemption Form (English)
  • Certificate for Vaccine Exemption Form (Spanish)
  • Exemption certificates that are not properly completed, missing signatures or missing other information will not be approved. They will be returned to the parent/guardian, school, child care, or Head Start program that submitted the form. 
  • Exemption submission and certificates cannot be submitted or obtained in-person at the Oklahoma State Department of Health.
  • County health departments and private doctors do not provide exemption certificates.
  • Mailed-in exemption certificates are processed in the order they are received.
  • Mailed-in exemption certificates take 3-6 weeks to review, approve and return. During peak seasons, such as the start of a new school year, this review and return time may be extended.
  • DISCLAIMER: The Immunization Service reviews all exemptions and approves or disapproves them. If the exemption is not approved, the parent/guardian must complete and submit another exemption request or present an immunization record for the child to attend school, child care or Head Start program.

How Long Are Approved Exemption Certificates Good For:

  • All exemptions submitted prior to a student entering 7th grade shall expire at the end of the student's 6th grade year. Schools should maintain approved exemption certificates in the student file through this duration.
  • A new exemption request by the parent/guardian should be submitted to the Oklahoma State Department of Health prior to the child entering 7th grade.
  • There is an additional Tdap immunization requirement for entry into the 7th grade. The childhood immunization guide provides more information on immunization requirements. 
  • Parents/guardians do not have to request a new immunization exemption request each year as the school should maintain a record on file based on the above outlined criteria.
  • Approved Exemption Certificates should accompany a student when transferring between Oklahoma schools. If a student transfers out of a school, that departing school is not required to maintain an exemption on file for that former student; however, the approved exemption certificate should be transferred as part of the student's record to the new school. 
  • Parents/guardians do not have to request a new immunization exemption request if a child transfers to a new child care facility. An existing and approved exemption certificate, which may include the name of a different facility, may be reused and accepted at the new facility; assuming there have been no changes to the child’s immunization status.  

Q: Can schools admit children before a child's exemption is approved by the State Health department? 
A: Yes, schools should admit children if an exemption form is on file. If an exemption is not approved by the Oklahoma State Department of Health the school will be notified that the exemption is not valid. At that time the school should notify the parents that they must file another exemption form or present an immunization record for the child. 
 
Q: If a child transfers to a new school or childcare facility in Oklahoma and has an exemption on file, do the parents need to fill out a new exemption form? 
A: No, as long as the child is transferring between schools or childcare facilities in Oklahoma the child can take the exemption form with them to the new school or childcare facility. 
 
Q: How will the Oklahoma State Department of Health know which schools or childcare facilities have children with exemptions enrolled in case of a disease outbreak that might impact enrollees with exemptions? 
A: In the event of a disease outbreak that might impact any school or childcare facility in Oklahoma, a representative of the local county health department or the Oklahoma State Department of Health will contact the school or childcare with instructions on informing the parents if the disease is a risk to any students including those with exemptions. 
 
Q: What is the schedule for older children who have not completed their IPV series? 
A: The schedule for polio vaccination for unvaccinated or under-vaccinated older children through age 17 years is 2 doses of IPV separated by 4-8 weeks, and a third dose 6-12 months after the second dose.

Each year, the Oklahoma State Department of Health (OSDH) conducts a survey with schools throughout the state to assess vaccination coverage and exemption status of children enrolled in public and private kindergarten programs.

Participation of schools in this survey is not only essential to capture immunization rates among children, but analysis of this data drives public health policy and program activities to improve vaccination coverage in our state. Aggregate results are also shared with the Centers for Disease Control and Prevention (CDC) for inclusion in the national kindergarten survey report. We appreciate the time and effort of our education partners in participating in the annual survey.

  • Vaccines provide immunity before children are exposed to potentially serious, even life-threatening diseases.
  • Vaccines reduce your child's risk of infection by working with their body's natural defenses to help them safely develop immunity to disease.
  • Vaccines are among the most effective ways to protect against serious diseases. Many vaccine-preventable diseases are no longer common thanks to vaccines.
  • Vaccines are tested to ensure that they are safe and effective for children to receive at the recommended ages.
  • Following the recommended immunization schedule helps you protect your child against vaccine-preventable diseases.  

Discover school and county rates through the interactive map below:

School & County Rates Interactive Map

2023-2024 Oklahoma Kindergarten Immunization Survey:

  • 92% of public schools and 55% of private schools submitted responses and data.
  • Responses represent 95% of students enrolled in public programs and 62% in private.
  • For the 2023-24 school year, 87% of public school kindergartners and 81% of private school kindergartners were found to be fully vaccinated.
  • When examining individual vaccine coverage, the highest rates among kindergarteners were for the Varicella (1+ doses) and Hepatitis B vaccines. MMR (measles, mumps, rubella) had the lowest rates.
  • Immunization exemption rates were found to be 5.6% for public schools and 9.0% for private schools.
  • Survey FAQ’s
  • 2023-2024 Summary Report

Annual Kindergarten Immunization Survey Reports:

Percentage of kindergarten students with record of current vaccination by antigen type and/or exemption by county:

Oklahoma state law requirements regarding immunization requirements for children admitted to any public, private, or parochial schools operating in the state can be found here.

All children two months of age and older must present an immunization record or file for an exemption before they are allowed to attend childcare in Oklahoma. This Guide to Immunization Requirements in Oklahoma provides essential information on the immunization and cumulative doses required for attendance in childcare and school settings.

The Centers for Disease Control and Prevention (CDC) offers a VaxView website to provide vaccination coverage data for all ages. Monitoring coverage for recommended vaccinations across the country helps the CDC assess how well local areas, states, and the nation are protected from vaccine-preventable diseases.

Q: How often is the kindergarten survey completed? 
A: The survey is distributed annually for school participation. 
 
Q: How will the Oklahoma State Department of Health know which schools or childcare facilities have children with exemptions enrolled in case of a disease outbreak that might impact enrollees with exemptions? 
A: In the event of a disease outbreak that might impact any school or childcare facility in Oklahoma, a representative of the local county health department or the Oklahoma State Department of Health will contact the school or childcare with instructions on informing the parents if the disease is a risk to any students including those with exemptions.

Oklahoma State Immunization Information System (OSIIS)

OSIIS collects and maintains accurate, complete, and current immunization records for Oklahomans of all ages (including patient demographics). However, not all clinics participate in OSIIS, therefore OSIIS does not contain the immunization records of all Oklahomans.

OSIIS Helpdesk:
Phone: (405) 426-8580 
Email: OSIISHELP@health.ok.gov
Hours: Monday - Friday, 8:30 a.m. to 4:30 p.m.

More Info

Contact Information

Mailing Address
Oklahoma State Department of Health
Immunization Service
123 Robert S. Kerr Ave., Suite 1702
Oklahoma City, OK 73102-6406

Physical Location
Oklahoma State Department of Health
123 Robert S. Kerr Ave.
Oklahoma City, OK

Phone: (405) 426-8580
Fax: (405) 900-7612
Email: immunize@health.ok.gov