The AAP recommends a vaccine schedule administering multiple immunizations at scheduled intervals and not “splitting” vaccines. Multiple shots and combination vaccines are utilized for three main reasons:

1. To provide broad immunologic protection to children when they are young and most vulnerable to these serious diseases
2. To minimize the absolute number of shots needed
3. To minimize the number of office visits which could potentially expose children to other illnesses in the waiting room 

Administration of simultaneous immunizations has been extensively studied and determined to be safe and effective. There is no negative effect on the childhood immune system. There is no medical benefit to splitting shots (and there is increased potential for harm by doing so).

We strongly support these recommendations. Non-standard vaccine schedules may lead to medical errors and increase risk to the under-vaccinated child. In addition, they pose a risk to other children who may come into contact with your child.

Parents who decline the recommended vaccine schedule will be required to sign a waiver stating that they are aware of the potential risks inherent in doing so (including, but not limited to, decreased immunity to potential life-threatening infections), as well as the lack of medical benefit from splitting shots. Families that choose to deviate from the recommended schedule should expect that we will discuss vaccination at every visit. 

We are happy to provide you with evidence-based literature about vaccinations and direct you to reputable websites on vaccines. We are also available to answer any and all questions you may have about vaccinations. We ask that you schedule additional appointment time for these discussions if necessary.

• Learn more about immunizations
• View the most up-to-date immunization schedules