Section 246-105-050. Required documentation of immunization status.

(1) Before a child may attend a school or child care center, a parent must provide proof of immunization status using the following documentation:

(a) A department-approved CIS form signed by the parent. The CIS form must include:

(i) Name of child;

(ii) Birth date;

(iii) Type of vaccine(s) administered;

(iv) Month, day, and year of each dose of vaccine received;

(v) A section to indicate whether a COE form accompanies the CIS form;

(vi) A section to document serologic proof of immunity signed by a health care provider acting within his or her scope of practice and including a copy of a lab report; and

(vii) Parent signature and date.

(b) If applicable, a department-approved COE form signed by a parent. A COE form must include:

(i) Name of child;

(ii) Birth date;

(iii) A place to indicate whether the parent is claiming a medical, religious, personal, or philosophical exemption. This must include:

(A) A statement signed and dated by a health care practitioner stating that he or she has provided the parent information about the benefits and risks of immunization to the child as a condition of obtaining a medical, religious, personal, or philosophical exemption;

(B) The requirement in (b)(iii)(A) of this subsection does not apply to a parent who demonstrates a religious membership under subsection (b)(iii)(F) of this subsection;

(C) A place to indicate any permanent or temporary medical exemption for one or more vaccines which must be signed and dated by a health care practitioner;

(D) A place to indicate any personal or philosophical exemption for one or more vaccines;

(E) A place to indicate any religious exemption for one or more vaccines; and

(F) A place to demonstrate religious membership. This must include a statement signed and dated by the parent identifying the name of the church or religious body, affirming membership in it, and affirming that the religious beliefs or teachings of the church or religious body preclude a health care practitioner from providing medical treatment to the child;

(iv) Notice to parents that if an outbreak of vaccine-preventable disease for which the child is exempted occurs, the child may be excluded from the school or child care center for the duration of the outbreak; and

(v) Parent signature and date.

(2) Parents who must include a signed statement from a health care practitioner under subsection (1)(b)(iii) of this section may submit:

(a) A photocopy of the signed COE in place of the original; or

(b) Along with the COE form, a letter from the health care practitioner in place of the signed statement under subsection (1)(b)(iii) of this section. The letter must:

(i) Indicate that the health care practitioner has provided the parent information about the benefits and risks of immunization to the child;

(ii) Reference the child's name; and

(iii) Be signed and dated by the health care practitioner.

(3) If immunizations are deferred on a temporary basis for medical reasons under subsection (1)(b)(iii)(C) of this section, the child must make satisfactory progress toward full immunization once the medical exemption has expired.

[Statutory Authority: RCW 28A.210.140 and 28A.210.090. WSR 14-06-037, § 246-105-050, filed 2/25/14, effective 3/28/14. Statutory Authority: RCW 28A.210.140. WSR 09-02-003, § 246-105-050, filed 12/26/08, effective 1/26/09.]

RCW 28A.210.140 and 28A.210.090. WSR 14-06-037, § 246-105-050, filed 2/25/14, effective 3/28/14. Statutory Authority: RCW 28A.210.140. WSR 09-02-003, § 246-105-050, filed 12/26/08, effective 1/26/09.