Schools & Childcare
Offers information on:
updated changes on exemptions
regulations surrounding vaccines, including the Revised Code of Washington (RCW) and Washington Administrative Code (WAC) and
training videos for
(1) Washington State Immunization Information System (IIS) training for schools, Headstart, and ECEAP
(2) School Immunization Requirements for school nurses, health assistants, registrars, and secretaries.
The Office of Immunization and Child Profile has public health nurse consultants on staff to answer clinical questions about immunizations.
Local health jurisdiction staff, health and child care providers, school staff, and the general public can email the nurses at firstname.lastname@example.org.
Emails are confidential and will be answered within three business days.
A reference guide designed for staff members who process Certificates of Immunization Status (CIS), complete immunization status reports, and answer questions from parents and guardians about immunization requirements for children in preschools, schools, and childcares.
Washington State Department of Health Vaccine Requirements
Includes easy-reference childcare, pre-school, and school vaccine requirement charts for school staff, parents and childcare providers
Provides detailed clinical guidance information for individual vaccine requirements.
Links to the most current immunization schedules on the Centers for Disease Control & Prevention (CDC) website.
Reporting & Documentation
Provides information for fulfilling and submitting annually-required immunization reporting requirements.
Includes the following documentation resources
Certificate of Exemption (COE)
Certificate of Immunization Status (CIS)
CIS Overlay for Kindergarten Entry
CIS Overlay for Middle School
CIS Overlay for High School
CIS Overlay for Childcare/Preschool Entry
Frequently Asked Questions (FAQ) about the CIS and COE
Childcare and school susceptible tracking lists to document exemptions and conditional/noncompliant children that require follow-up
Includes the following sample letters for parents (all are in Microsoft Word and can be modified to include school district/child care logo and associated contact info)
Graduating Senior Letter
HPV Letter for Private Schools
HPV Letter for Public Schools
HPV and Meningococcal Letter (combination)
Notice of Child’s Conditional Immunization Status (Public and Private Schools)
Notice of Exclusion for Immunization Noncompliance (Private Schools)
Notice of Exclusion for Immunization Noncompliance (Public Schools)
Tdap Letter for 6th-12th grade
Tdap/Varicella Letter (combination)
New Varicella Requirement Letter for 9th-12th Grade (new for 2016-17)