Required Immunizations for School Attendance
In Washington, all students 18 years old or younger may get vaccines at low or no cost from their health care provider.
School Immunization Chart for 2023- 2024
Students must get vaccine doses at correct time frames to be in compliance with the requirements. Talk to your healthcare provider or school nurse if you have questions about school immunization requirements. Find your school nurse.
Find information on other important vaccines that are not required for school at: www.immunize.org/cdc/schedules.
Changes to State Immunization Rules for Schools Effective August 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 August 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.
Starting on August 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.