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If your child needs updated immunizations for school, please contact your child's healthcare provider or checkout Free Immunization Clinics available in Pierce County: Vaccine Clinic Resources 

Yearly Influenza and COVID-19 vaccines are recommended for everyone 6 months or older.  For more information about these vaccines, refer to Tacoma-Pierce County Health Department Immunizations for resources. Influenza and Covid-19 vaccines are recommended, but not required for school enrollment.

School Immunization Requirements

Washington State Law requires any child attending school or preschool to be fully immunized against certain diseases.  The specific diseases are listed below. 

  • Chickenpox (Varicella)
  • Diphtheria
  • German measles (Rubella)
  • Haemophilus influenzae type b disease (Hib) (Required until 5 years of age)
  • Hepatitis B
  • Measles (Rubeola)     
  • Mumps
  • Pneumococcal disease (Required until 5 years of age)
  • Polio (Poliomyelitis)
  • Tetanus
  • Whooping cough (Pertussis)

All students must have a Washington State Certificate of Immunization Status (CIS) form on file that is medically verified. Medically verified documentation of the required vaccines must be provided to the school before your child can attend. 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.  Your child cannot attend school until you provide these records. 

Here are some examples of medically verified immunization records:

  • A completed Certificate of Immunization Status (CIS) signed by a health care provider.
  • A CIS filled out by you or another parent/guardian with medical records attached.
  • A CIS printed by a health care provider or school from the Washington State Immunization Information System.
  • A CIS printed from MyIR which is a free Department of health online tool that allows families to view and print their official immunization records themselves. Go to Washington MyIR to begin the sign-up process.

Visit the Washington State Department of Health Website for more information on required vaccines for school.


See below for vaccine schedules and forms for the 2023-24 and 2024-25 school year: