Department of Health chart of required immunizations

        Washington state law requires children enrolling in public schools to provide proof of immunity to specific communicable diseases.  Immunizations shall be provided against Hepatitis B, Diphtheria,Tetanus, Pertussis, Polio, Measles, Mumps, Rubella and Varicella.  Beginning with the 2020-21 school year, all students must have medically verified documentation of their immunization status on or before the first day of attendance.  The regulation for medically verified records pertain to students in grades that require new immunization documentation. This includes students in preschool, kindergarten, seventh and new enrollees. Medically verified records include 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 completed with a healthcare provider signature
        - A physical copy of the CIS filled out with accompanying medical immunization records from a healthcare provider verified and signed by school staff
        - A CIS printed from MyIR

        Students will not be able to attend school until the school has a student’s immunization record and immunizations are up to date. Contact your doctor to get a record of your child’s immunization record or you can access it on MyIR. Your child can get immunizations at his/her primary care provider, Free Children’s Immunization Service, and the School-Based Health Center at Bethel Middle School.

        Exemptions can be made for medical, religious or philosophical reasons. Personal/philosophical exemptions are not allowed for measles, mumps and rubella. The Certificate of Exemption must be completed by a licensed health care professional in Washington is required for a medical, religious or philosophical exemption. Religious membership that does not believe in any medical care only requires a parent or guardian's signature. For more information on immunizations and forms can be found at Washington State Department of Health.



      • Immunization Calendar

        Local Medical and Dental Services

        Medications at School

        Teen Vaccinations

        When should kids stay home?

        Students with life-threatening health conditions

        If your child has a life-threatening health condition, please take time over the summer break to get your them to the doctor to get orders and medication refills for school.

        Substitute House Bill 2834 requires children with life-threatening health conditions to have medication or a treatment order on file prior to attending school. This includes early start programs such as the Bridge Program for 6th and 9th grade students.

        Please make an appointment early with your child’s healthcare provider to make sure you can get these documents and refills in time for your child to start school.

        You can find all the forms you will need for doctor’s orders on the Bethel Health Services website.

        Please have the needed orders to your child’s school by September 1 to ensure the school nurse will have time to prepare your child’s care plan and train the staff.

        State law requires children with life-threatening conditions to have a medication and/or treatment order on file prior to the start of school. A "life-threatening condition" is a health condition that could be deadly to the child – during the school day – if a medication and/or treatment order is not provided. School nurses will be responsible for putting a nursing care plan in place.

        If your child has a “life-threatening” condition, please have a health care provider complete the required medication and treatment forms based on your child's health condition. All parents who have a child with a life threatening condition are required to fill out the basic packet that includes an Authorization for Exchange of Medical Information and a Contact Information form. Additional forms may be needed based on your child’s health condition. All forms and medications must be provided to your child's school before the school year begins. Upon receipt of the information from your health care provider and medication, the school nurse will contact you to develop an appropriate nursing plan. She will then need to train the staff. Your child may not be able to start school on the first day of school if the orders are not at school three days prior to school starting.

      COVID Dashboard

      DOH Decision Tree

      If you are having trouble viewing the document, you may download the document.