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Physical Examination and Immunization

Act 51-74 requires that students entering public school for the first time in the state of Hawaii complete the following before admission to school:

  • TB skin test (PPD or Mantoux) or chest x-ray that was completed within 1 year prior to school entry. The certificate must include the dates of administration and reading of the Mantoux skin test (PPD). The transverse diameter must be recorded in millimeters. The signature or stamp of a U.S. licensed MD, DO, APRN, PA, or clinic is required.

  • Physical examination that was completed within 1 year prior to school entry. The exam must be completed by a U.S. licensed MD, DO, APRN, or PA.

  • Complete immunization that includes Diphtheria, Tetanus and Pertussis (DTaP). Five doses are required but four will be accepted if the fourth dose was given on or after the 4th birthday. Four doses of Polio (IPV or OPV) are required but three will be accepted if the third is given on or after the 4th birthday and the shots must be of one series (IPV or OPV). Two doses of Measles, Mumps and Rubella (MMR) are required. Two doses of Varicella (chicken pox) are required if the first dose was administered on or after the 13th birthday. A signed documented history of a diagnosis of varicella by a practitioner or a signed report by a practitioner (a U.S. licensed MD, DO, APRN, PA, or clinic) may be substituted for the varicella vaccine requirements.

  • Provisional enrollment: If any of the health requirements (except for TB skin test) is not completed, a doctor's appointment slip must be provided proving that the student is in the process of completing the health requirements. The student will not be allowed to attend school without the appointment slip.

All of these health requirements should be submitted on the Department of Education Student's Health Record. Form 14 link - The form is also available at all doctors' offices and clinics in Hawaii.

To view the Department of Education's website on Health Requirements, visit the following link:

Geographic Exceptions

Chapter 13. Relating to Geographic Exception for School Attendance:

8-13-1 Philosophy Under Hawaii's laws, all persons of school age are required to attend the school of the district in which they reside. However, permission to attend another school may be granted by the department as provided in this chapter, with the welfare of the student as a major consideration. When a student is granted a geographic exception, the student shall belong to the receiving school and shall enjoy all rights and privileges as are enjoyed by other students at the receiving school except as provided by this chapter.

8-13-2 Definitions As used in this chapter, "Applicant" means the parents, legal guardian, or other legal custodian authorized to represent the student or an eighteen-year-old student who wishes to apply for a geographic exception. "Geographic exception" means permission to attend a school other than the student's home school as determined by the student's legal residence. "Home school" means the school within the geographic area, which the student shall attend according to the student's legal residence. "Home school district" means the school district in which the student resides. However, the department shall presume that the student resides with the parent or legal guardian. In the event that the student's parents do not reside together in the same school district, the department may presume that the student resides in the school district in which either parent resides. A student wishing to rebut the presumption has the burden of proving the student's residence.


To view the Department of Education's website on Geographic Exceptions, visit the following link:


- HIDOE Online Registration Parent Instructions.pdf

- Registration information.pdf

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