Changes to State Immunization Rules for Schools and Child Cares Effective August 1, 2020
The State Board of Health (SBOH) has approved changes to Chapter 246-105 of the Washington Administrative Code (WAC) concerning school and child care immunization policy. These rules apply to all public and private schools and licensed child care centers in Washington State.
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 seventh through 12th grades.
There are other small changes to the rule. Read the full rule.
Medically Verified Records
Starting on August 1, 2020, the revised rule requires medically verified immunization records for school and child care 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
- Download a copy of the CIS
Starting on August 1, 2020, the revised rule grants children conditional status entry into school or child care who are making progress towards completing their immunization requirements. Children may begin school or child care 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 immunizations are needed after receiving all immunizations they are eligible to receive before starting school, children may start school or child care in conditional status and remain until the next dose becomes due. Children will then have 30 calendar days to turn in updated records showing they received the missing dose. If additional doses are due, conditional status continues until all required immunizations are complete. If the 30 days expire without updated records, the child must be excluded from further attendance.
Change to Tetanus, Diphtheria, and Pertussis (Tdap) Vaccine Requirement
Starting on August 1, 2020, the requirement for a Tdap dose changes from grades 6-12 to grades 7-12. All students entering seventh through 12th grades must have one booster dose of Tdap vaccine. In the 2020-2021 school year, all students in seventh grade must have received their Tdap dose on or after age 10 years. Students in eighth through 12th grades must have received their Tdap dose on or after age seven years.