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.