Oregon requires proof of immunization through a Certificate of Immunization Status (CIS) before your child can attend licensed childcare. Oregon's immunization law — ORS 433.267 — applies to licensed daycare facilities, preschools, and Head Start programs. Oregon schools typically start after Labor Day, but childcare enrollment timelines often run ahead. Here's every form, who fills it out, and where to get it.
Last verified: September 8, 2026
Under ORS 433.267 and OAR 333-050, children attending licensed childcare facilities must have a current Certificate of Immunization Status on file. Oregon's CIS is completed by your child's healthcare provider or Oregon Health Authority (OHA) immunization clinic, drawing on records in ALERT IIS (Oregon's immunization registry).
Required immunizations for Oregon child care (age-appropriate):
Oregon Office of Child Care (OCC) childcare licensing rules (OAR 414) require documentation that enrolled children are in suitable health for group care. Many licensed childcare centers require a health assessment or physical exam completed by a healthcare provider, typically within the 12 months before enrollment.
Contact your specific childcare center for the form they use. Many accept documentation from a recent well-child visit summary. Bring the visit summary and the CIS on enrollment day.
(Source: Oregon Office of Child Care; OAR 414, accessed Aug 31, 2026)
If you've lost your child's immunization record, ALERT IIS (Alert Immunization Information System of Oregon) is the recovery tool. Most Oregon providers report doses to ALERT IIS. Contact your pediatrician or your OHA county health department to request a printout. Parents can also request their child's ALERT IIS record through the Oregon Health Authority.
For children who received some doses outside Oregon, bring documentation of those doses so your Oregon provider can enter them into ALERT IIS and complete the CIS.
(Source: Oregon Health Authority — ALERT IIS, accessed Aug 31, 2026)
Camp health form requirements in Oregon depend on the type of program:
Licensed childcare centers need a CIS and a health assessment. Camps may have their own health forms. Call ahead and get the exact list before the doctor visit. Some Oregon programs have fall enrollment deadlines in August even though school starts after Labor Day.
Bring any program-specific forms. Your pediatrician can update immunizations, complete the health assessment, issue the CIS, and print an ALERT IIS record — all in one visit.
Turn in completed forms to the childcare center or camp office. Keep copies — the same CIS works for school enrollment in Oregon.
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Oregon recognizes medical exemptions and — under certain conditions — non-medical exemptions from childcare immunization requirements under ORS 433.267. Non-medical exemptions require completion of an OHA-approved education module. For current forms and the official exemption process, contact the Oregon Health Authority.
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