City of Manchester, NH Official Website

School Health


The School Health Staff:

School Health Services

First Aid and Illness Care:

Health Records:

Screening Program:

Health Education and Health Counseling:

Care of Children with Special Health Care Concerns and the Individual Student School Health Plan:

Medication Administration:

School Entry Requirements

Student Medication or Procedure Permission Order Form
Student Health History with Medical Release
Student Medical Registration Requirement Guide for Parents/Guardians

New Hampshire School Immunization Requirements 2018-2019

  1. Children must have proof of all required immunizations, documentation of immunity, or valid exemptions, in order to be admitted or enrolled in any school in New Hampshire. These children are considered "up-to-date" with school vaccine requirements. Documentation of immunity by confirming laboratory test results is acceptable for Measles, Mumps, Rubella, Varicella, and Hepatitis B. 
  2.  A child may be "conditionally" enrolled when the parent or guardian provides:
    (1) Documentation of at least one dose for each required vaccine; and
    (2) The appointment date for the next dose of required vaccine.
  3. All immunizations must meet minimum age and interval requirements for each vaccine. A 4-day grace period is allowed; however, live attenuated vaccines not administered on the same day should be administered at least 28 days apart. Live attenuated vaccines are MMR and Varicella.
  4. Medical and religious exemptions have specific requirements. Information is available at:


6 years and under: 4 or 5 doses of diptheria, tetanus, and pertussis vaccine with the last dose given on or after the 4th birthday.
7 years and older: 3 or 4 doses of diptheria, tetanus, and pertussis vaccine with the last dose given on or after the 4th birthday.
Grades 7-12: 1 dose of Tdap is required for entry into 7th grade. A Tdap vaccine given on or after the 7th birthday meets the Tdap requirement for Grade 7.


Grades K-6: 3-4 doses with one dose on or after the 4th birthday and the last two doses separated by 6 months.
Grades 7-12: 3 doses, with the last dose given on or after the 4th birthday2
or 4 doses regardless of age at administration.2

Hepatitis B  

Grades K-12: 3 doses at acceptable intervals. See schedule at


Grades K-12: 2 doses required; the first dose must be on or after the 1st birthday.


Grades K-9: 2 Doses or laboratory confirmation of chicken pox disease.
Grades 10-12: 2 Doses, or laboratory confirmation of chicken pox disease, or history of chicken pox disease.

In all grades the first dose of varicella must be on or after the 1st birthday.

1If the child has a medical contraindication to pertussis vaccine, the child shall receive Tetanus diptheria toxoid (Td/DT) vaccine.
2If a combined IPV/OPV schedule was used, 4 doses are always required, even if the 3rd dose was administered after the 4th birthday.

See additional School Health Forms for more information.

Obtaining Immunizations

Manchester Health Department 1528 Elm Street on the following days and times.

Monday 1:30 p.m. – 3:30 p.m.

Tuesday 9:00 a.m. – 11:30 a.m.

Thursday 3:00 p.m. - 6:00 p.m.

  • A parent or legal guardian must accompany persons under 18 years of age.

Injury and Illness Management

Dismissal Policy

Should I Send My Child To School?

  1. Most fevers indicate the bodies’ response to illness.
  2. Most children with a fever feel sick.
  3. Children must be fever for 24 hours without having to take any fever reducing medication.
  4. Rest at home until fever is gone is the best plan and then return to school.
  5. If a fever lasts longer than 3-4 days, does not respond to over-the–counter fever medicines, or is accompanied by other severe symptoms, you are advised to call your health provider. 
  1. If your child has vomited or experienced diarrhea during the night, please do not send your child to school.
  2. They must be symptom free for 24 hours before returning to school. 
  3. Severe cramping with diarrhea or nausea with vomiting that lasts for several hours may cause dehydration, especially in small children. 
  4. During periods of acute illness, sipping water or sucking on ice cubes may be useful.
  5. If a child appears very sluggish, pale, sweaty, or the skin is red and hot, contact your health provider for more instructions.
  1. Transmission is by hand to hand contact and through the air after sneezing and coughing.
  2. Viruses can live on surfaces of objects for many hours and are very contagious. 
  3. Children can be uncomfortable the first few days but then start to feel better.
  4. However, call your health provider if your child has symptoms of:
    • severe congestion accompanied by fever and headaches, and lasting more than 10 days;
    • a cough that keeps a child (and you) awake for a few nights;
    • nasal discharge lasting longer than 10 days, that is dark green or yellow, thick and foul smelling;
    • severe ear pain; very sore throat that makes it difficult to swallow;
    • yellow or green eye discharge with redness; skin under the nose that becomes scabbed or crusted yellow.
  1. Children should be treated by a health care provider, and may not attend school until he/she is on antibiotics and without a fever for at least 24 hours.

School Head Lice

  1. Identify head lice by the presence of live lice or nits and contacting parents.
  2. Educate parents, families and community on head lice prevention.
  3. The best way for schools to get control of lice is for every parent to check every child frequently, and report to the school if lice or nits are found.
  4. Schools are only one place your child may contact lice: consider other places where your child is in contact with other children such as baby sitters, child care, church, clubs, family visits, sleepovers. 
  5. These are all possible places where lice can spread.
  1. Treat with a medicated shampoo as directed.
  2. Remove all nits with comb or fingernails.
  3. Wash clothing, bedding, etc, in HOT water and pack away non-washable items for 2 weeks.
  4. Check heads daily for at least a week for nits and remove nits .If you see live lice, do not repeat the lice shampoo.
  5. Repeat treatment in 7-10 days (as directed).
  6. Let your school nurse know! - and call with questions!
Copyright 2019 City of Manchester Terms Of Use Privacy Statement Site Map Login