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Immunizations

Required Immunizations for School Year 2020-2021

In Washington, all students 18 years old or younger may get vaccines at low or no cost from their health care provider. 

Parent/Guardian Instructions
: To see which vaccines are required, find your child's grade and look only at that row going across to find the vaccines and number of doses required.

Hepatitis B DTaP/Tdap
(Diphtheria, Tetanus, Pertussis)

Vaccine doses required may be fewer than listed

  Polio

Vaccine doses required may be fewer than listed


 MMR
(Measles, Mumps, Rubella)
 Varicella
(Chickenpox)

  Kindergarten through 5th Grade

 3 doses within the correct timeframes 5 doses within the correct timeframes 4 doses  with the correct timeframes 2 doses  within the correct timeframes 2 doses  within the correct timeframes
OR
Healthcare provider verified child had disease
 6th Grade through 12th Grade 3 doses  within the correct timeframes 5 doses DTaP
AND
1 dose Tdap,  all within the correct timeframes
4 doses  within the correct timeframes 2 doses  within the correct timeframes 2 doses  within the correct timeframes
OR
Healthcare provider verified child had disease  (Exceptions are allowed for certain students)

Students must get vaccine doses at correct time frames to be in compliance with the requirements.  Talk to your healthcare provider or school nurse if you have questions about school immunization requirements. Find your school nurse.

Changes to State Immunization Rules for Schools Effective August 1, 2020

The update to Chapter 246-105 WAC has three major focuses:

  • It now requires medically verified immunization records for school and child care entry.
  • It clarifies conditional status in regards to school and child care immunization requirements and implementation.
  • It changes the Tdap immunization requirement to 7th through 12th grades.

Medically Verified Records

Starting on August 1, 2020, the revised rule requires medically verified immunization records for school entry. Medically verified record includes 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 with a healthcare provider signature,
  • A physical copy of the CIS with accompanying medical immunization records from a healthcare provider verified and signed by school staff,
  • A CIS printed from MyIR.

Conditional Status

Starting on August 1, 2020, the revised rule grants children conditional status entry into school who are making progress towards completing their immunization requirements. Children may begin school only if they received all of the required immunizations they are due to receive and submitted medically verified records on or before the first day of attendance. If additional immunization doses are needed after initiating all immunizations, students students may start school  in conditional status and remain until the next dose becomes due. 

Change to Tetanus, Diphtheria, and Pertussis (Tdap) Vaccine Requirement

Starting on August 1, 2020, the requirement for a Tdap dose changes from grade 6-12 to grade 7-12. All students entering 7th through 12th grades must have one booster dose of Tdap vaccine. In the 2020-2021 school year, all students in 7th grade must have received their Tdap dose on or after age 10 years. Students in 8th through 12th grades must have received their Tdap dose on or after age 7 years.

Vaccination Exemptions

Certificate of Exemption identifying that you have medical, personal, or religious reasons for not vaccinating your child can be submitted to the school. Despite an exemption, please know that should an outbreak occur in school, your student could be out of school for weeks. 

MMR Vaccine Exemption Law Change 2019

In 2019, the Washington State Legislature passed a bill that removes the personal and philosophical option to exempt children from the MMR (measles, mumps, and rubella) vaccine required for school.

   Hepatitis B
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