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Here are collected questions that arise regarding the rules and nuances of immunization in the state of Washington. Answers are given on the topic of vaccination. based on open data and official sources.

What medical documents do you need to have for registration at a school or preschool educational institution (daycare, preschool)?

During the registration process, it is necessary to provide documentation on immunization - confirmation of received vaccinations. The rules of the Ministry of Health of the country from which the child came and the local legislation of the state where the student will be enrolled in the school are taken into account. The main document is the Certificate of Immunization Status (CIS).

How to get and where to submit immunization documents?

The CIS is handed over to the employee, medical worker of the educational institution responsible for the registration process.

If the child has health insurance, that is. visits a doctor and has all the necessary vaccinations, the employee of the educational institution independently prints the CIS from the Immunization Information System (IIS) database. In the future, the educational institution will monitor the vaccination schedule.

If the educational institution does not have access to the Immunization Information System (IIS) databases, you can obtain a completed CIS form yourself:

Register on the website Washington MyIR  and print the document from your account or contact the Department of Social and Health Services (DSHS) for CIS, contact information:, phone 1-866-397-0337

If you do not have medical insurance, you can fill out the CIS form yourself and accompany it with supporting documents (with an English translation). For this you need:

Print and fill out the CIS form from the Immunization Information System database.

Medical staff of educational institutions must check and confirm the CIS form filled out by you. Immunization Manual Procedures for Schools, Care Facilities (PDF), Preschools, and Child.

It should be taken into account that medical workers of educational institutions almost always receive an extract from the state information system on their own and do not always know how to act correctly in non-standard situations.

Is immunization a mandatory condition for entering school or kindergarten?

Immunization is not a mandatory condition for admission to school or kindergarten. If the child does not have documentation of vaccinations, a completed certificate of exemption from vaccinations for religious or other reasons must be provided.

What to do if there are no vaccination documents?

If the child does not have vaccination records, then at least the first dose of the catch-up series will be required and subsequently a completed Certificate of Immunization Status (CIS) or a completed Immunization Exemption Certificate must be provided. Pupils who need to make up for missed vaccinations will be given a vaccination schedule and will need to adhere to the deadlines specified in this schedule. At the same time, the student has a conditional status of admission to school.

The schedule "converts" vaccinations for conditional admission to classes at school or preschool, the child must receive all doses of the vaccine before the beginning of the educational process. Conditional admission lasts 30 days, and during this period vaccination must be carried out, otherwise the child will not be admitted to classes.

Is it necessary to translate vaccination certificates into English?


Where to translate the child's medical documents?

You can use the help of our project volunteers. We will complete the translation within a few days (depending on the workload). Please use the service upon specific request from the educational institution.

How to properly translate documents according to the requirements of the state of Washington?

There are no special translation requirements in the US. Any person who knows the language can do the translation. It is advisable to have the English translation certified by a notary to avoid additional questions. In the case of independent translation, it is necessary to sign the document according to the example:

I, Liudmila Burkovskaya, hereby certify that I have communicated this document with the Ukrainian language in English and that, to the best of my ability, it is a true, faithful and correct translation. I have a certain opinion that I would like Ukrainian and English to render and confidence in such a translation. Liudmila Burkovskaya ____(signature)_______

Please note that US dates are usually written in the month, day, year format. To avoid confusion, we recommend using the month name instead of the number: Aug 24, 1991.

How can you confirm the presence of the PDA vaccine if it is not included in the vaccination card?

You can confirm the presence of CPC and your immunity to measles, mumps and rubella with a blood test for antibodies. Also, ordering the test does not require a doctor's appointment or insurance.

Is confirmation of the tuberculin test required for adults and children for admission to college/work?

Yes, some educational institutions and employers may ask about the availability of a person's TB test. The check will be carried out through a general blood test. However, people who have had a vaccine such as BCG may experience a false positive. This is a normal phenomenon and should not be worried. In this case, you need to take a blood test called the Quantiferon Gold Test (QFT), which will help detect the bacteria that causes tuberculosis.

What vaccinations are required to apply for a green card?

The information is from the official migration website:

  • mumps;
  • measles;
  • rubella;
  • poliomyelitis;
  • tetanus and diphtheria toxoids;
  • whooping cough;
  • hemophilic bacillus type;
  • hepatitis B;
  • COVID-19; and

Any other vaccine-preventable disease recommended by the Advisory Committee on Immunization Practices (ACIP).

Where can I get TB testing cheap or free?