Who is responsible for reviewing physicians notes?
Physician notes that state that a child is “adequately immunized” or that indicate “no additional vaccine is needed” must be sent to regional IDPH Immunization Staff for review (Section 665.280). The IDPH rules and regulations do not acknowledge the “4 day grace period” that many providers apply. When physicians administer vaccinations “off schedule,” they will need to submit notes on these circumstances for review by IDPH. During the time physician notes are under review by IDPH staff, students will be considered “In Compliance, but Unprotected.