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Health and Medical

State law requires that all students have proper vaccinations or meet the alternative to the certification requirement, or they will not be allowed to enter or continue in school. Each student enrolled in Derby Public Schools must file documentation of his or her immunization status. This is done by filing a Kansas Certificate of Immunization (KCI) form signed by a physician or local Health Department official. This must be provided by Tuesday, September 8, 2026. View immunization requirements.

All students are expected to follow the guidelines outlined in K.S.A. 72-6262 and Board Policy JGCB. Students seeking a waiver for medical or religious reasons should contact the school nurse for further assistance. Any student who fails to provide this documentation will be excluded from school starting September 9, 2026. Please contact the Special Services Department at (316) 554-8004 for more information. 

Below you will find a list of health and medical forms for your student(s).

Immunization Requirements

K.A.R. 28-1-20 defines immunizations required for any individual who attends school or a childcare program operated by a school.  Below are the requirements for the indicated school year. Please carefully review the requirements. The usual number of doses required are listed; however there are exceptional circumstances that could alter the number of doses a child needs. If you have questions about your child's immunization status, contact your child's primary care provider or local health department.

Proof of receiving the required immunizations must be provided to the school prior to the student attending the first day of school.

This information is provided by the Jefferson County Health Department. View a PDF version of this information, which was created from the following documents located on the kdheks.gov website: 

Contact Information

If you do not see the form(s) you are looking for, please call our Administrative Offices at (316) 788-8400 so we can assist you.