Hawaii State Law requires students to meet immunization requirements before attending school. Exemptions from the immunization requirements may be allowed for medical or religious reasons if the appropriate documentation is presented to the school. No other exemptions are allowed by the State.
All schools in Hawaii are required to submit an Immunization Assessment Report (EPI 12A or EPI 12B) to the Hawaii Department of Health by October 10th and January 10th of each school year. Schools must identify students who have not complied with the State health and immunization requirements upon school entry, and student who have religious or medical exemptions.
The tables accessed using the links below provide a summary of self-reported enrollment, incomplete immunizations, and medical and religious exemption data submitted by each school for students in kindergarten through grade 12. Self-reported data are not validated by the Department of Health. Schools that have not submitted the final report (due January 10th of each school year) are noted as (N/R).
Immunization and Examination Requirements Reports by School Year
- 2024-2025 (Map)(Excel)
- 2023-2024
- 2022-2023
- 2021-2022
- 2020-2021 (no report due to COVID-19 pandemic)
- 2019–2020
- 2018-2019*
- 2017-2018*
- 2016-2017*
- 2015-2016*
- 2014-2015*
- 2013-2014*
*Only medical and religious exemption data were included in this report.
Each year, the Centers for Disease Control and Prevention (CDC) selects a random sample of kindergarten students from Hawaii public, private, and charter schools provided by the Department of Health (DOH). This sample is used to assess coverage and exemption rates using a sampling approach approved by the CDC. An assessment is performed using data from a random sample from each of the selected schools and reviewed by Department of Health staff. The data is submitted to CDC annually to calculate state-level coverage and exemption rates. Schools utilized for this purpose are selected from the schools listed in the tables.
Technically, the CDC selects the random sample of kindergarten students from kindergartens across the state. We only provide them with a list of all the current kindergartens in Hawaii.

