What vaccinations are required for children to attend school in Spain?
In Spain, children are recommended to receive certain vaccinations before attending school, although these are not strictly mandatory. The Spanish Ministry of Health provides a national immunization schedule that schools generally adhere to, but enforcement of these vaccinations varies by region.
Recommended Vaccinations for School Attendance
Spain’s national immunization schedule is a comprehensive guide that outlines the recommended vaccines for children at various ages. Here’s a breakdown of the key vaccinations:
- DTP (Diphtheria, Tetanus, Pertussis): Administered in multiple doses, starting at two months of age.
- MMR (Measles, Mumps, Rubella): Two doses are recommended, typically given at 12 months and again at 3-4 years.
- Polio: Four doses are generally administered, starting from two months of age.
- Hepatitis B: Usually given in three doses, starting at birth.
- HIB (Haemophilus influenzae type b): Administered in four doses, beginning at two months.
- Varicella (Chickenpox): Two doses are recommended unless the child has had chickenpox.
- PCV (Pneumococcal Conjugate Vaccine): Administered in four doses, starting at two months.
- Meningococcal C: Typically administered in three doses, beginning at four months.
While these vaccines are highly recommended, some regions may enforce them more strictly than others, depending on local health policies.
Regional Variations in Vaccination Policies
Spain’s autonomous regions have the authority to adjust the national immunization schedule to address local health concerns. Therefore, it’s important for American families moving to Spain to consult the specific vaccination requirements of the region they will be residing in. For instance, some areas may require additional vaccines, such as the Meningococcal B vaccine, which is not universally included in the national schedule.
Documentation Required for School Enrollment
When enrolling a child in a Spanish school, parents are typically required to present a health card or immunization record. This document should reflect the vaccinations the child has received according to the recommended schedule. It’s advisable to have this document translated into Spanish to avoid any confusion during the enrollment process.
Options for American Families
American families planning to move to Spain should ensure their children’s vaccinations are up-to-date according to the U.S. schedule before departure, as the schedules are quite similar. Upon arrival, it’s wise to consult a local healthcare provider to align with any regional requirements. For families planning to reside long-term, a Spain Non-Lucrative Visa could be an ideal option to consider.
Healthcare Access in Spain
Spain boasts an excellent healthcare system, which is available to residents including expatriates. Once you have established residency, you can access public healthcare services, including vaccinations, often free of charge. This is particularly beneficial for families, as it ensures that children can receive any additional vaccines required by local schools without incurring significant costs.
Comparison with Other Immigration Options
For families considering a temporary stay or those looking to work remotely, the Work remotely from Spain visa might be a more suitable option. This visa allows flexibility and has different requirements than permanent residency options, making it an attractive choice for digital nomads or temporary residents.
For more details, check out our comprehensive guide – How to move to Spain – The Complete How To.
Got questions about living in Spain? Get in touch or chat with us on Zoom to find the best visa route for your move.

