Health Room Forms
If you have issues with the forms below please email Communications.
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. All students must have documentation of their immunization status on or before the first day of attendance.
Exemptions can be made for medical or religious reasons. The signature of a licensed healthcare professional is required for all exemptions.If your religion does not believe in medical care, the exemption form only requires a parent signature.
Immunization forms are available at all schools and at https://www.bethelsd.org/Health. Contact your healthcare provider if your child needs more immunizations. Free immunizations are available from the Tacoma Pierce County Health Department. You can access the schedule and location of the clinics at https://www.tpchd.org/healthy-people/immunizations/for-children.FREE Sports Physicals at GKHS and SLHSThe Mom and Me Mobile Medical Clinic will be at Graham-Kapowsin and Spanaway Lake high schools this summer to provide FREE sports physicals!SLHS: August 1 from 10 a.m. to 2 p.m.
GKHS: August 2 from 10 a.m. to 2 p.m.For more information on the Mom and Me Mobile Medical Clinic, please visit their website, momandmemobile.orgNew Law on MMR Personal Exemptions
The Washington State Legislature passed a bill this year that removes the personal and philosophical option to exempt children from the MMR (measles, mumps, and rubella) vaccine required for school and child care entry.
This bill took effect July 28, 2019 and applies to public and private schools and child cares, including preschool. The law removes the option for a personal/philosophical exemption to the MMR vaccine requirement for schools and child cares. It also requires employees and volunteers at child care centers to provide immunization records indicating they have received the MMR vaccine or proof of immunity.
If your child has a personal exemption for the MMR vaccine, make an appointment with your health care provider to discuss your options for meeting this new requirement. You can get more information on this new law on the Washington State Department of Health: https://www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/ExemptionLawChange.
If you have any questions, you can reach Dawn Fox, Nurse Administrator, at 253-683-6940 or firstname.lastname@example.org.TDAP Vaccine required for incoming 6th graders
The Tdap vaccine is required for entry into middle school. The Tdap vaccine is a booster vaccine that protects against tetanus, diphtheria and pertussis. You will need to take proof of your child’s Tdap vaccination to your child’s middle school. Thank you in advance for your compliance with this requirement.
In additional to the required Tdap vaccine, it is also recommended that students receive the HPV and Meningococcal vaccine.
The HPV vaccine protects against the human papillomavirus. Some strains of the virus affect the genital area. Some types produce warts in the skin. A few types can lead to cancers, especially cervical cancer, anal cancer, and oropharyngeal, or cancer of the throat. The vaccine can be given as early as 9 years of age. The vaccine is a 2-3 shot series depending on the age the first vaccine is given.
The Meningococcal vaccine protects against a severe strain of meningitis. The disease is not very common, but it is more common among teenage students. This disease can cause brain damage, loss of hearing or limbs, and death.
Learn more about vaccines for preteens and teens: https://www.doh.wa.gov/YouandYourFamily/Immunization/PreteensandTeens
Children Who Get A Well Visit Each Year Do Better In School
Children who get annual well visits are more successful in school and more likely to graduate high school. All children who have insurance in Washington State have one free preventive well visit each year with a provider who is on their insurance. A well visit includes screening to identify any medical, physical, and behavioral health concerns early to better address
them timely and hopefully prevent long-term issues. In addition, it includes what is needed to participate in sports activities, and is more comprehensive than a sports checkup.
Children should start getting an annual preventive well visit each year after they turn 3 years old and continue annually, every year into adulthood. The summer well visit ensures that all health concerns, including sports forms, are addressed so that children and youth are healthy and ready to learn when school starts in the fall. Often as they start school children begin
to miss getting annual preventive well visits. This starts as early as age 5 and continues into adolescence.
If you haven’t gotten a well visit for your child or children this year, call their clinic today and schedule one now. The clinic name may be on the back of your child’s insurance card or you can contact the insurance company for information on which providers are on the insurance list. If your child is considering participating in sports, take the sports checkup form to the preventive well visit appointment and it can be filled out at same time. Annual well visit appointments are recommended by your child’s doctor, the Washington State Department of Health, and the Washington State Health Care Authority, in addition to all advocates for healthy children. View flyer here.