immunization Requirements to Attend School

The following requirements are for students age four and above to attend school.

Required Immunizations (Updated 2/15/23)

Immunization Compliance Forms

Certificate of Immunization Status (CIS)

Certificate of Exemption (COE)

Changes to state immunization rules (effective Aug. 1, 2020)

The update to Chapter 246-105 WAC has three major focuses:

- It now requires medically verified immunization records for school and child care entry.
- It clarifies conditional status in regards to school and child care immunization requirements and implementation.
- It changes the Tdap immunization requirement to 7th through 12th grades.

Medically Verified Records
Starting on Aug. 1, 2020, the revised rule requires medically verified immunization records for school entry. Medically verified record includes one or more of the following:

- A physical copy of the CIS form with a healthcare provider signature,
- A physical copy of the CIS with accompanying medical immunization records from a healthcare provider verified and signed by school staff,
- A CIS printed from MyIR.

Conditional Status
Starting on Aug. 1, 2020, the revised rule grants children conditional status entry into school who are making progress towards completing their immunization requirements. Children may begin school only if they received all of the required immunizations they are due to receive and submitted medically verified records on or before the first day of attendance. If additional immunization doses are needed after initiating all immunizations, students students may start school in conditional status and remain until the next dose becomes due.

A Certificate of Exemption identifying that you have medical, personal, or religious reasons for not vaccinating your child can be submitted to the school. Despite an exemption, please know that should an outbreak occur in school, your student could be out of school for weeks.

Excluding Children Out of Compliance with Immunization Requirements

By law, RCW 28A.210.120, it is the duty of the administrator of every public and private school and day care center to prohibit the further presence at the school or day care center for any and all purposes of each child for whom proof of immunization, certification of exemption, or proof of compliance with an approved schedule of immunization has not been provided in accordance with RCW 28A.210.080 and to continue to prohibit the child's presence until such proof of immunization, certification of exemption, or approved schedule has been provided. Students lacking immunization records who are covered under the federal McKinney-Vento Act may not be excluded. The exclusion of a child from a school shall be accomplished in accordance with rules of the Office of the Superintendent of Public Instruction, in consultation with the State Board of Health WAC 392-380-050 (Public schools) WAC 180-38-050 (Private schools).

MyIR Registration

Signing up for MyIR (By registering for MyIR account, you will gain secure, anytime access to your immunization records)

DOH has begun the process of closing down MyIR.net and encouraging active users to register for the updated MyIRMobile.com, please update your resources with this link: MyIRMoblie Register. The new platform is much more robust and includes a new version of the validated CIS. You will notice a couple of differences from the validated CIS version printed from the WA Immunization Information System (WAIIS). The MyIR Mobile version:

- Does not have a column for immunity by antibody titer. MyIR does not pull this information from the WAIIS. If you find immunity has been documented, you can write that on the CIS by hand and, if applicable, change the CIS status.
- May or may not check the box for history of varicella disease depending on how it was entered in the WAIIS. If you find that history of varicella disease has been documented in the WAIIS, you can write that on the CIS by hand and, if applicable, change the CIS status.
- Does not display the SIIS identification number. MyIR does not pull this information from the WAIIS.