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, Diptheria, Tetanus, Pertussis, Polio, Measles, Mumps, Rubella and Varicella. All students must have documentation of their immunization status on or before the first day of attendance. Exemptions can be made for medical, religious or philosophical reasons. The signature of a licensed health care professional is required for a medical or philosophical exemption. Religious exemptions require a parent or guardian's signature. Immunization forms are available at all schools and through the Tacoma-Pierce County Health Department at 253.798.6500.