Schools & Childcare

Washington State Department of Health Resources

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

Emails are confidential and will be answered within three business days.

Washington State Department of Health Immunization Manual

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

Washington State Department of Health School Immunization Status Reporting

Provides information for fulfilling and submitting annually-required immunization reporting requirements.

Washington State Department of Health Forms and Letters 

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)

Meningococcal Letter

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)