School and Child Care Immunization

This page contains information and resources regarding school and child care immunization requirements and reporting. We update it regularly to reflect changes from year to year.

Click any of the links below to jump to a specific topic.

Immunization Manual for Schools, Preschools and Child Care Facilities

Immunization Laws and Rules

Immunization Requirements

Certificate of Immunization Status (CIS)

Exemptions from Immunization Requirements - Certificate of Exemption (COE)

Conditional Status Attendance

Excluding Children Out-of-Compliance with Immunization Requirements

Outbreaks and Exclusion

Immunization Status Reporting – Due Annually by November 1st

Immunization Information System School Module

General Resources

Preschool and Child Care Resources

School K-12 Resources and Sample Letters

Vaccine Information

Program Webpages

Frequently Asked Questions

Immunization Manual for Schools, Preschools and Child Care Facilities

The Immunization Manual for Schools, Preschools, and Child Care Facilities helps staff who serve on the immunization frontline at schools, preschools, and child care facilities. You'll find helpful information and resources to answer questions about immunization requirements, process Certificates of Immunization Status, and complete status reports.

Immunization Laws and Rules

Immunization Requirements

IVRS - Individual Vaccine Requirements Summary for Schools and Child Care: Detailed clinical guidance on immunizations required for school and child care/preschool including catch-up schedules and exceptions

Child Care Requirements Charts

Children entering child care must get the required doses listed in this chart to be in compliance with immunization requirements. School-aged children (preschool - grade 12) in before and after-school programs must meet the immunization requirements for their grade in school. The requirements follow the national Advisory Committee on Immunization Practices (ACIP) Immunization Schedule.

To read the chart, find the child's age range and follow the row across to find the number of vaccine doses required by that age. For example, if a child is 6 ½ months old (not yet 7 months old), look at the row “By 5 months”. A 6 ½ month old child needs a total of 2 doses of DTaP vaccine. By the time the child reaches 7 months, they will need 3 total doses (look at the DTaP column and row “By 7 months”).

For Parents

For Child Care Providers

School Requirements Charts

Students entering school (preschool - grade 12) must get the required doses listed in this chart to be in compliance with immunization requirements. The requirements follow the national Advisory Committee on Immunization Practices (ACIP) Immunization Schedule with requirements specified by grade level.

To find the doses required, look at the row that includes the student's grade and the column for the required vaccine. For example, a student entering kindergarten needs two doses of MMR vaccine. The requirements and rules vary depending on the student's grade.

For Parents

For School Staff

Recommended Childhood and Adolescent Immunization Schedule

According to WAC 246-105-040, the school, preschool, and child care immunization requirements currently refer to the Advisory Committee on Immunization Practices immunization schedule.

Certificate of Immunization Status (CIS)

Before a child may attend a school or child care center, a parent or guardian must provide proof of the required immunizations or immunity using a department-approved Certificate of Immunization Status (CIS) form. The CIS may be printed from the WA Immunization Information System (IIS). Parents can also print a CIS by signing up with MyIR or complete the hardcopy form below. If the hardcopy form is used it must be medically verified by accuracy with either a health care provider signature or by attaching medical immunization records to the completed CIS so school or child care staff can verify it for accuracy.

School and Child Care Exemptions from Immunization Requirements

Washington State Law allows parents or guardians to exempt their child from the school or childcare immunization requirements. Exemptions may be claimed for personal/philosophical, religious or medical reasons. Measles, mumps, and rubella may not be exempted for personal/philosophical reasons. To request an exemption a completed Certificate of Exemption must be submitted to the school or child care center. More information about exemptions is available in the Frequently Asked Questions document below.

Conditional Status Attendance

Children who are in the process of completing their required immunizations may remain in school or child care in a temporary conditional status.

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).

Outbreaks and Exclusion

To control the spread of disease a local health officer may exclude children and staff in schools and child care facilities. WAC 246-110-020 It is encouraged for all for school and child care facilities to keep or have ready access to immunization records of staff as well as children should they be required in the event of an outbreak.

Immunization Status Reporting – Due Annually by November 1st

School Module

The School Module is built into the Washington State Immunization Information System (IIS) for schools to track immunization records for students. The School Module page has more information about this free resource and how to use it.

General Resources

Preschool and Child Care Resources

School K-12 Resources and Sample Letters

Rule Change Materials for 2020

Vaccine Information

Program Webpages