Provider Enrollment for the Childhood Vaccine Program

Each year, providers must renew their Provider Agreement for the Receipt of Publicly Supplied Vaccine. In May 2013, providers began using the Washington State Immunization Information System (IIS) to complete their annual enrollment. Your local health jurisdiction and the State Department of Health will notify you when it is time for you to renew.

Renewal using the IIS

Initial Enrollment

Provider Disenrollment

If you have questions, please contact your local health department, or contact us at the Washington State Department of Health: 1-866-397-0337 OR