Washington State requires a Certificate of Immunization Status (CIS) before your child can attend any licensed child care facility or camp. Here's every form, who fills it out, and where to get it.
Last verified: September 8, 2026
Per WAC 246-105-030, every child attending licensed child care in Washington must have a completed Certificate of Immunization Status (CIS) on file before the first day. The CIS is Washington's official form documenting all required immunizations.
Required immunizations for child care (age-appropriate per CDC schedule):
Washington's Department of Children, Youth, and Families (DCYF) requires licensed child care providers to have a health history and emergency contact form on file for every child. Per WAC 110-300-0170, this must include allergies, medications, dietary restrictions, chronic conditions, and emergency contacts. Providers must update this information at least annually.
Many centers use the DCYF-provided intake form or their own version. Ask the center for their specific form before the first day — they'll need it completed and signed by a parent or guardian.
(Source: DCYF — Licensed Child Care; WAC 110-300-0170, accessed Aug 29, 2026)
Washington does not require universal TB screening for child care enrollment, but some licensed programs — particularly Head Start and Early Head Start — require a TB risk assessment or screening as part of the enrollment health process. Your child care provider will tell you if this applies. If screening is required, your pediatrician can complete it during a well-child visit.
(Source: Head Start Program Performance Standards, 45 CFR §1302.42; Washington DCYF licensing rules, accessed Aug 29, 2026)
Camp health form requirements in Washington depend on the type of camp:
(Source: WAC 246-254 — Recreational Camps, accessed Aug 29, 2026)
Licensed child care centers will need the CIS and a health history form. Camps vary. Call ahead and get the exact list before scheduling the doctor visit.
Bring any camp-specific health forms. Your pediatrician can update immunizations, complete the CIS, and sign any health clearance forms in one visit.
Turn in completed forms to the child care center or camp office. Keep copies of everything — the CIS is the same form you'll need again for school enrollment.
Every person in your family gets a private @families.familystork.com email address. Give it to your pediatrician — they send records to it, and the health story builds itself. The CIS, every vaccine date, the health history form — all filed automatically into one timeline.
When the camp asks for an updated immunization record? When you switch daycares? When kindergarten enrollment starts? It's all already in one place.
$99/year — or about $10 a month.
Washington allows medical, personal/philosophical, and religious exemptions from child care immunization requirements. A Certificate of Exemption (COE) must be on file at the facility.
For MMR vaccine specifically, personal exemptions require a signature from a healthcare provider confirming the parent received information about the benefits and risks of immunization (per RCW 28A.210.090 and HB 1638).
Governing statutes: RCW 28A.210.090; WAC 246-105-050.
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