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According to North Dakota law 23-07-17.1 children entering middle school are required to receive Tdap (tetanus/diphtheria/pertussis) and MCV4 (meningococcal) vaccines. The meningococcal vaccine required for middle school entry must be administered after your child turns 10 years of age.  

The use of childhood immunizations is considered to be one of public health’s greatest achievements, greatly reducing the number of severe childhood illnesses. It is important that your child receive the proper immunizations at the right time as he or she is growing. Immunizations, also called vaccinations, protect your infant and child against many serious diseases.

North Dakota law states that a child may not be admitted to any public or private school, day care, Headstart program, or preschool unless the child’s parent or guardian shows proof that the child has received the required immunizations. 

Fargo Cass Public Health utilizes state-supplied vaccine and offers the following immunizations to all North Dakota children: Hepatitis A, Hepatitis B, diphtheria, tetanus, pertussis, polio, measles, mumps, rubella, chicken pox, Prevnar 13 (PCV13), and Hib.

Two additional vaccines, one for meningitis and the other for HPV (human papillommavirus), are available to children who qualify for the “Vaccine for Children” (VFC) program. Those children who qualify for VFC must be Native American or:

  • be 18 years of age or younger.
  • have Medicaid coverage or no health insurance.

Call Anne at 241-1378 for more information about VFC eligibility.

College Students

The North Dakota Department of Health and the North Dakota University System are informing parents and college students about the new immunization requirement for meningococcal vaccine implemented by the North Dakota University System.

For entry into North Dakota colleges and universities, newly admitted students ages 21 and younger residing in campus housing must provide documentation of immunity against meningococcal disease. Students must provide evidence of at least one dose of meningococcal conjugate vaccine (MCV4) in the five years prior to enrollment or evidence of two doses of MCV4 administered at ages 10 or older and at least eight weeks apart. Two doses of MCV4 vaccine are routinely recommended for all adolescents at ages 11 and 16. The new requirement only affects facilities under the North Dakota University System, not private facilities. Students enrolling in private facilities should contact that university or college to find out their immunization requirements.

The new meningococcal vaccine requirement is in addition to the previous requirement for all college students to have two doses of measles, mumps and rubella (MMR) vaccine. Students and/or their parents are urged to contact their health-care provider, pharmacist or local public health unit to determine whether or not the student is up-to-date on immunizations.

A fact sheet with information about meningococcal disease is available at

For more information about meningococcal disease and immunization requirements, contact Molly Sander, North Dakota Department of Health, at 701-328-4556. For information about the new immunization requirements, contact John Irby, North Dakota University System, at 701-328-2962 or 701-220-1771.

How do I access this service?

To schedule an appointment for your child to receive immunizations and for information on pricing, call 241-1383. To find out more about childhood immunizations, call Anne at 241-1378.


Children are not the only ones who need immunizations. Adults also need to be properly immunized against vaccine preventable diseases. Adults receiving immunizations will be asked to pay for their immunizations at the time of service, and to bring their insurance cards.  

To find out more about adult immunizations, call Anne at 241-1378. To find out about pricing and to schedule an appointment for immunizations, call 241-1383.