Section 173-4-003 - REQUIRED IMMUNIZATION INFORMATION; EXCLUSION FROM ATTENDANCE; NOTICE003.01 Each program must require the parent or guardian of each child enrolled in such program to present within 30 days of enrollment and periodically thereafter: 1. Proof that the child is protected by age-appropriate immunization against measles, mumps, rubella, poliomyelitis, diphtheria, pertussis, tetanus, haemophilus influenzae type B, hepatitis B, varicella, and invasive pneumococcal disease;2. Certification by a physician, advanced practice registered nurse, or physician assistant that immunization is not appropriate for a stated medical reason;3. A written statement that the parent or guardian does not wish to have the child so immunized and the reasons therefor; or4. Parental or clinical documentation of disease with year of infection for varicella. The documentation must include one of the following: a. Signature of the parent or legal guardian and the date (year) of the child's varicella illness, orb. Signature of a health care provider and the date (year) of the child's varicella illness, orc. Laboratory evidence of a child's varicella immunity.003.02 If one of the documents described in 173 NAC 4-003.01 is not presented within 30 days of enrollment, the program must exclude a child from attendance until such proof, certification, or written statement is provided.003.03 At the time the parent or guardian is notified that such information is required, he or she must be notified in writing of his or her rights to submit a certification or a written statement as described in 173 NAC 4-003.01.173 Neb. Admin. Code, ch. 4, § 003