North Carolina law requires all children in the state to receive certain immunizations. Records are checked when children enter childcare and school.

The reporting period for the 2025-2026 school year is now open. Reports can be completed via this link. All NC Pre-Ks, childcare facilities, and Head Start programs must submit their annual reports online. The reporting period ends November 15, 2025. Late reports will not be accepted. 

Frequently Asked Questions About Online Reporting

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Childcare facilities are required by law [G.S. 130A-155(c)] to submit the requested information annually. It is also a licensing requirement. You will be contacted if the report is not received on time.

In the case of an outbreak of a vaccine preventable disease, this report will also help identify the children who are most at-risk for contracting the disease.

If you do not have internet access and are unable to complete your report online, please call the Immunization Branch at 1-877-873-6247.

The child should be excluded from attending childcare until their records are submitted.

If the child does not have the required number of shots for their age, the parents need to be informed and the child should be excluded per public health law [G.S. 130A-155(a)].

The Immunization Branch recommends confirming with the parent that you have the most updated record on file.

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This page was last modified on 10/07/2025