A few steps
Whole house
Immunizations
The home school rules do not mention shots.They cover the notice, the curriculum record and the yearly report.The shot rule is written for school, college and child care.The state's home school page says you do not give the school health records.
You do. File only your notice to homeschool.Keep any shot records at home.
Where. Keep the records
Source. hawaiipublicschools.org
The law allows each choice below. Read what each one covers.
An exemption is a paper that says a shot rule does not apply to this person.
The state says
You do
The paper
a signed religious certification, on the school's form or in a statement the parent writes. There is no state form to fill in. It does not expire.
Source. law.cornell.edu, data.capitol.hawaii.gov, hawaiipublicschools.org
You do
The paper
The shot record from the doctor's office or the health department.
The state says
You do
The paper
a practitioner certification on the form the Department of Health specifies. A doctor signs it. How long it lasts: The period the practitioner states.
Source. law.cornell.edu
You do
Source. hawaii.edu, hawaiipublicschools.org
No rule found opens public teams to homeschoolers; if your child enrolls for classes, expect a request for shots or a written exemption.
Can my child play? See the full guideThe state says. The shot rule covers college, too.A college student needs the required shots.The student also needs tuberculosis clearance.Tuberculosis, or TB, is a lung illness.The University of Hawaii takes one of two papers for shots:a signed religious form, or a doctor's medical form.It has no exemption from TB clearance.It does not ask for TB clearance in four cases:Early College dual enrollment.Online only classes.A student who is never on campus.A course shorter than 120 days.
You do. 1.Before the semester, ask the campus health clearance office: does one of the four cases fit?2.Send that office the shot record or the signed exemption form.3.Does the office say TB clearance is needed? Then send it.
Where. The college door in the Academic Planner
Source. law.cornell.edu, hawaii.edu
The state says. The shot rule covers child care centers and preschools.The same medical and religious exemptions work there.The rule leaves out these:after-school programsfamily child care homes and group child care homesparent co-ops and play groupsrespite programs and drop-in centersRespite means short care that gives a parent a break.
You do. Before the first day, give the center one paper:the shot record, or the signed exemption.
Source. law.cornell.edu, hawaiipublicschools.org
The state says. The immunization record for each person, or the written exemption, belongs in the same folder as the rest of the school records.
You do. Keep the record, or the exemption, with everything else the state asks you to keep.
Where. Keep the records
Checked against Hawaii's own law on October 20, 2026.
Everywhere in America
Where a shot record actually gets asked for, and where it does not.
Before any shot, what federal law already gives you
This is a summary of public law, not legal advice. Requirements change, so always check your state's own page before you rely on it.