Health Services - Immunizations

Department of Health (DOH) - School and Child Care Immunization
Up to date information on immunizations from the Department of Health.

• Immunization Manual for Schools, Preschools, and Child Care Facilities (PDF) - July 2022

1. Measles, Mumps, Rubella (MMR) Vaccine

• In May 2019, the Washington State Legislature passed a bill that removes the personal and philosophical option to exempt children from the MMR vaccine required for school entry.  Click here for more information. 

2. Varicella Requirement

• Two doses of varicella vaccine will be required for all students in K-12th grade. Detailed information can be found in the Individual Vaccine Requirements Summary (IVRS). 

3. Polio Requirement

• K-5th grade: the final dose of IPV, given on or after August 7, 2009, must be given on or after 4 years of age AND a minimum interval of 6 months from the previous dose.

4. Hepatitis B Requirement

• K-9th grade: Dose 3 must be given on or after 24 weeks of age; minimum interval between dose 1 and dose 3 is 16 weeks.
• 10th-12th grade: Dose 3 must be given on or after 4 months of age; minimum interval between dose 1 and dose 3 is 12 weeks.

Required Notifications

• Tdap and Varicella - Grades K - 12 (English)
• Tdap and Varicella - Grades K - 12 (Spanish)
• Meningococcal and Human Papillomavirus (HPV) English

Certificate of Immunization Form
As of August 1, 2020, the revised rule requires medically verified immunization records for school and child care entry.

Medically verified record includes one or more of the following:

• A certificate of Immunization Status (CIS) printed from the Immunization Information System (IIS)
• A physical copy of the CIS form with a healthcare provider signature
  • Certificate of Immunization Form - English
  • Certificate of Immunization Form - Spanish
• 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

Certificate of Exemption
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.

• Certificate of Exemption (English)
• Certificate of Exemption (Spanish)
• Exemptions - Quick Reference

 Frequently Asked Questions (FAQ)

• Certificate of Immunization
• Varicella
• Conditional Status

 Washington State's Immunization Registry
Washington State's Immunization Registry Lake Stevens School District Registered Nurses and a limited number of approved staff working with the school nurse utilize Washington State Immunization Information System (WIIS) to access student's immunization histories which have been provided by the child's healthcare provider. All district employees with access to this registry have signed a confidentiality agreement and operate under the guidelines set forth by the HIPAA Privacy rule and FERPA Act.

Access to this registry allows the school nurse to update student immunization records in an accurate and timely manner, greatly reducing the number of phone calls and mailings to parents requesting this necessary documentation which is required for school attendance.

On the student health history form, there is a section for you to give your permission for your student's immunization information obtained through WIIS to be transferred to your student's CIS (Certification of Immunization Status) form which is a part of the student's educational record.

You can now access this information for your family. By accessing your family's immunization information you can view, download and print the completed CIS. Once you have printed and signed the CIS it is now ready to be turned into your child's school for enrollment.

To access your family's immunization information, please visit the Washington Department of Health: Access your Family's Immunization Information.

Required Immunizations for School Year 2019-20, 2020-21 & 2021-22

• School attendance 2021-22 (English)
• School attendance 2021-22 (Spanish)
• School attendance 2020-21 (English)
• School attendance 2020-21 (Spanish)
• School attendance 2019-20 (English)
• School attendance 2019-20 (Spanish)

Immunization Specific Information