 | 4 doses of
tetanus (1 dose on or after 4th birthday); 3 doses if series started
after age 7 |
| 4
doses of diphtheria (1 dose being
on or after the 4th birthday);
3 doses
if series started after age 7 |
| 3
doses of polio |
| 2
doses of measles |
| 2 doses of
mumps |
| 1 dose of
rubella (German measles) |
| 3
doses of Hepatitis B |
| 2
doses of
varicella
(chickenpox)
or written statement
from physician/designee indicating month and year of disease or
serologic proof of immunity |