Required Yearly Reporting
All child care facilities and public, private, charter and federal schools must keep children's vaccine records on file and submit yearly reports.
Garrett’s Law
Garrett’s Law was enacted in 2004 and expanded in 2007. It requires schools to provide information about meningococcal meningitis, influenza (flu) and human papillomavirus (HPV), and the vaccines that protect against these diseases. Use these resources from the CDC to help educate parents and guardians.
Meningococcal disease is a serious bacterial infection that spreads through close contact with infected individuals. It can cause severe illness and can become life-threatening within hours, making early diagnosis challenging. While the disease can be treated with antibiotics, vaccination is the best way to prevent infection. Three meningococcal vaccines are available to protect against the strains of bacteria that cause most cases of meningococcal disease.
Influenza (flu) is a contagious respiratory illness that can cause symptoms such as fever, headache, sore throat, cough, and body aches. In some cases, flu can lead to serious complications, including pneumonia, inflammation of the heart, brain, or muscles, and sepsis. These complications can result in hospitalization or even death, particularly among young children, older adults, pregnant women, and people with certain health conditions.
Annual flu vaccination is recommended for everyone 6 months of age and older. The best time to get vaccinated is in late summer or early fall, before flu viruses begin spreading widely in the community. Getting vaccinated each year is the most effective way to reduce the risk of flu infection, serious complications, and flu-related hospitalizations.
Human papillomavirus (HPV) is a very common virus, and most people will be infected with it at some point in their lives. In the United States, approximately 13 million people, including many teens and young adults, become infected each year. While many HPV infections go away on their own within two years without treatment, some types can persist and lead to six different types of cancer. HPV vaccination is a safe and effective way to protect children and adolescents from HPV infection and the cancers it can cause
Materials to share with parents
Use these resources to educate parents on vaccine-preventable diseases and rule changes.
More information: NC's K-12 school vaccine requirements and recommendations
Talking with parents about vaccines: conversation guides, handouts and more
Template: Notification of Non-Compliance
English Non-Compliance Letter (editable PDF)
Template: Notification of Exclusion
English Exclusion Letter (editable PDF)
Immunization Requirements for Child Care Facilities
Booklet: Ready Wrigley Prepares for Flu Season (PDF)
North Carolina Rules and Laws including an explanation of parent responsibility, child care operator responsibility and child care record sharing.
Immunization Requirements for K-12 Schools
Vaccine Schedules for Children (Birth to 6 Years)
Flyer: Grow Up Healthy – Vaccines by Age (PDF)
Postcard: Kindergarten Vaccine Requirements – English/Spanish (PDF)
Mailer: Vaccine Requirements for Kindergarten Entry (PDF)
Flyer: Vaccine FAQ for Parents of Kindergarten Students (PDF)
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This page was last modified on 06/17/2026