The Certificate of Immunization Status (CIS), denoted as form DOH 348-013, is an essential document for parents and guardians in the process of enrolling their children in school or child care facilities in Washington State. This form serves as a record of a child's immunizations, documenting their protection against several diseases and ensuring compliance with state laws regarding school entry. The form encompasses details such as the child's demographic information, a section for parental consent allowing the school or child care to input immunization data into the Washington State Immunization Information System (IIS), and a conditional status acknowledgment for instances where the child is starting school without being fully up to date on required immunizations. It also includes a comprehensive list of required vaccines for school or child care entry, recommendations for additional vaccines, and a section dedicated to documenting disease immunity, either through a history of the disease or a laboratory test (titer). The importance of this form is underpinned by its dual role in ensuring public health safety and enabling educational institutions to keep accurate health records of their students. Completing the CIS involves either printing it from the IIS, where immunization information is automatically filled, or manually filling out the form and attaching medical records as necessary, thereby ensuring all children enrolled in school or child care are protected against vaccine-preventable diseases.
| Question | Answer |
|---|---|
| Form Name | Doh 348 013 Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | washington state immunization record online, cert vaccination, washington state immunization exemption form form, washington state immunization form |