CLICK HERE to download the HMS Vaccine Form

CLICK HERE to download this Immunization Letter as a printable PDF

Haywood County Board of Education &State of Tennessee Immunization Information

April 16, 2018

Dear Parent or Guardian,

Your child entering seventh grade in the fall is required to provide proof of immunizations to the school. All students must submit the required up to date state immunization form before the first day of seventh grade. If a form is not submitted, your child will not receive a seventh grade schedule until completion and proof of the required immunizations. If you have not done so already, please make sure that your child has obtained the immunizations listed below and provide proof to the school counselor at Haywood Middle School, Jennifer Sloan, before the end of this school year to ensure that your child will be allowed to enter school in August 2018.

More information can be found on the HCS website at under Coordinated School Health, at under school vaccine requirements, or at the local health department at 772-0463. If you have any questions, you may call the school nurses at 772-9613 ext. 2360 or ext. 2730.

Information needed:

  • New immunization form required by state and marked as complete 7th or higher and certified by health professional
  • Tetanus-diphtheria-pertussis booster “T-dap”
  • Chickenpox (Varicella) 2 doses or credible history of disease

Thank you for your assistance.

School Health Services