Health Room & Forms
Immunizations
Washington State Immunization Requirements
Washington state law requires all children attending in-person or online school, preschool, or child care to provide proof of immunization for their age. This requirement helps protect the health of all students and staff in our schools.
All students must have a Washington State Certificate of Immunization Status (CIS) on file at their school. The CIS form must list the dates of all required vaccines and must be medically verified by a healthcare provider.
If you have questions about your child’s immunization requirements, please contact your school nurse or healthcare provider.
The following immunizations are required for school attendance:
- Chickenpox (Varicella)
- Diphtheria
- German Measles (Rubella)
- Haemophilus influenzae type b (Hib) (required only through age 5)
- Hepatitis B
- Measles (Rubeola)
- Mumps
- Pneumococcal disease (required only through age 5)
- Polio (Poliomyelitis)
- Tetanus
- Whooping Cough (Pertussis)
Learn more about required vaccinations at the Washington State Department of Health School Immunization Page
How to Submit Immunization Records
Students must submit medically verified immunization records using one of the following options:
- A CIS form signed by a healthcare provider
- A CIS form completed by a parent/guardian with official medical records attached
- A CIS form printed from the WA Immunization Information System by a provider or school
- A CIS form printed from MyIR Mobile, a free online tool provided by the WA Department of Health
Please follow the instructions on page two and return the completed form to your school nurse.
Access or print immunization records via MyIR Mobile
Immunization Tracking: WAIIS
Beginning in the 2025–2026 school year, Bethel School District will use the Washington State Immunization Information System (WAIIS) exclusively to manage and verify student immunization records.
WAIIS is a secure, web-based system managed by the WA Department of Health. It connects healthcare providers and schools to support safe and accurate vaccine tracking.
Reminder:
Students will not be allowed to attend school unless:
- Required immunizations are up to date, and
- A medically verified CIS is on file with the school
Opting Out of WAIIS
Families have the right to opt out of having their child’s immunization information stored in WAIIS.
To do so, please complete and submit the official WAIIS Opt-Out Form to the Washington State Department of Health.
Download the WAIIS Opt-Out Form (PDF)
Note: Even if you opt out of WAIIS, you are still required to submit a medically verified Certificate of Immunization Status (CIS) directly to your school.
Life-threatening health conditions
If your child has a life-threatening health condition, please take time over the summer to visit your child’s health care provider to get updated doctor’s orders and medication refills for school.
What the Law Requires
Washington State law (Substitute House Bill 2834) requires that:
- Medication and/or treatment orders must be on file at school,
- Emergency medications must be provided,
- And a health care plan must be in place
before a student with a life-threatening condition can attend school, including early start programs like the Bridge Program for 6th and 9th graders.
A life-threatening condition is defined as a health issue that could be deadly to the student during the school day without medication or treatment. Examples include asthma, diabetes, seizures, and severe allergies.
Timeline & Deadline
- All required forms and medications must be submitted no later than your child’s first day of school.
- To ensure your child can begin school on time, we strongly recommend submitting everything at least 3 days before the first day of school.
Required Forms
Please visit the Forms tab above to download the forms needed for your child’s care.
At minimum, parents/guardians must submit:
- Authorization for Exchange of Medical Information
- Parent Contact Information Form
- Condition-specific medication or treatment form(s) (as needed for diabetes, seizures, asthma, etc.)
How to Submit
- Fax: You may fax completed forms directly to your child’s school.
- In Person: Hard copy drop-off is appreciated and preferred when possible.
What Happens After Submission
Once your child’s school nurse receives the completed forms and medications:
- A nursing care plan will be developed.
- The nurse will contact you to confirm next steps.
- School staff will be trained to safely support your child.
- Your child will be cleared to attend school.
Please note: If the required documents and medications are not received, your child may not be allowed to attend school until the requirements are met. This includes required signatures by provider(s), parent(s)/guardian(s), and nurse.
Questions?
If you have questions or need help, please contact your child’s school nurse or the District Health Services Office.
Thank you for helping us keep your child—and all students—safe and ready to learn.
Forms
Asthma Packet (English) (Spanish)
Authorization for Exchange of Medical Information (English) (Spanish/Russian)(Ukranian)
Bee/Insect Allergy Packet (English) (Spanish)
Comprehensive Sexual Health Opt-Out Form
Diabetes Packet (English) (Spanish/Russian)
Diet Prescription (English) (Spanish/Russian)
Food Allergy Packet (English) (Spanish/Russian)
Gastric Tube Feeding Request Form (English and Spanish) (Russian)
General Medication Packet (English and Spanish)
Health History (English) (Spanish/Russian)
Physician's Orders for Medication at School Form (English) (Spanish/Russian)
Illness & Staying Home
Illness and Staying Home
- Students and staff should stay home when ill—with any respiratory symptoms, including fever, chills, cough, sore throat, vomiting, etc.
- Once fever-free for 24 hours without medication and starting to feel better, individuals may safely return to school. Washington State Department of Health
COVID‑19 Positive Cases
If someone tests positive for COVID‑19, they should wear a mask for 5 days upon returning to school or activities.
Routine Testing & Reporting
- For this school year, DOH will no longer supply school-based COVID‑19 or flu tests—those programs ended in May 2024.
- Reporting remains in place: childcare and K–12 programs must report outbreaks per WAC regulations; individual cases reporting varies by jurisdiction.
These guidelines align COVID‑19 with other respiratory viruses—simplifying the approach while maintaining sensible safeguards.
When to keep your child at home (English)
When to keep your child at home (Spanish)
When is your child too sick for school? (English)
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