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Immunization Requirements

State law requires that for unconditional admission to school, all students under 18 shall be fully immunized according to requirements of the California Department of Health Services (Ed.Code § 49403 and 48216, District Policy 5141.3).

Immunizations required for admission to kindergarten

  • Polio

  • DPT - Diphtheria/Pertussis(whooping cough)/Tetanus

  • MMR - Measles(rubeola)/Mumps/Rubella(3-day measles)
  • Hepatitis-B
  • Varicella (Chickenpox)

Admission to 7th grade requires proof of immunization for

  • MMR - booster (if not received at a younger age)

  • Varicella- booster (if not received at a younger age)

  • Tdap - booster (1 dose on or after the 7th birthday)

All other entering students not fully immunized according to district policy and the schedule provided by the state Department of Health Services may be admitted only on the condition that they obtain any additional immunization(s) within specified time periods. 

Immunization Resources

District Immunization Clinic

The San Juan Unified Immunization Clinic, located at 3700 Garfield Avenue (Room 4) in Carmichael is open.  Required immunizations for school entry are available by appointment only to children ages 18 and under who are uninsured, underinsured or Medicaid eligible. Schedule an appointment.

The Immunization Clinic is supported by Vaccines for Children (VFC) and adheres to their program requirements. The clinic is only open to individuals 18 years and younger who do not have health insurance, are underinsured, are Medicaid eligible or are American Indian or Alaskan Native.

Clinic days and hours are limited. One appointment per child is required. Please plan to arrive 10 minutes prior to your scheduled appointment time to begin completing required paperwork. (If no times are available on your requested date, please choose another open date in the future). A $10/child voluntary administrative fee is requested per appointment (cash only).

Other Resources

Those who have health insurance can visit their health care provider for immunizations. However, we recognize that not all of our families have adequate access to health care, and have made sure there are low-cost and free options for families that need them. Please consider the following options:

  • The Health on Wheels mobile health clinic operated by Elica Health Centers provides free physical exams and immunizations to uninsured students. They also accept most insurances, including Medi-Cal. For more information about the Health on Wheels clinic, call Elica Health Centers at (916) 454-2345, email or visit their website.

  • Rite-Aid provides immunizations for a fee, unless insurance can be billed. Locations within the San Juan Unified boundaries include 2214 El Camino Ave., Sacramento; 4701 Whitney Ave., Carmichael; and 1309 Fulton Ave., Sacramento. More information at
  • Sacramento County’s Immunization Assistance Program might be able to help your family. Please call (916) 875-7468 for more information.

Information about SB 277

In June 2015, Gov. Jerry Brown signed Senate Bill 277 (SB 277) into law. The legislation provides that parents and guardians will no longer be able to refuse to vaccinate their children based on personal belief exemptions if their children attend public or private school. The law went into effect Jan. 1, 2016.

Although SB 277 does not allow for personal belief exemptions, it does allow for medical and home schooling/independent study exemptions. The medical exemption can only be obtained from a licensed medical doctor (M.D.) or a doctor of osteopathic medicine (D.O.). There is not a specific form for the medical exemption. Instead, a doctor must generate a letter on official letterhead with the following information:

  • Confirmation that immunization is not recommended based on the child’s physical or medical condition.
  • Identification of which vaccines are being exempted.
  • A statement of whether the medical exemption is permanent or temporary (and if temporary, the expiration date).
  • Signed and dated by the medical provider.

Students who do not have proof of required immunizations when called for (at time of enrollment in San Juan Unified, at time of promotion to transitional kindergarten/kindergarten and/or at time of promotion to seventh grade) will not be allowed to attend school until proof is provided.