CHILDHOOD Vaccination Washington State Laws

This page does not include any “Emergency” orders, requirements, or mandates by any WA government official at the state, city, or county level. Governor Inslee lifted the State of Emergency on October 31, 2022.

FAST FACTS

  • For children in WA State, current law requires certain vaccines for attendance at LICENSED DAYCARE, PRESCHOOL, and KINDERGARTEN THROUGH GRADE TWELVE.
  • WA State has no vaccination requirements for children outside of DAYCARE and SCHOOL setting. Homeschoolers must provide paperwork (Certificate of Immunization (COI) or Certificate of Exemption (COE), but there are no limitations on homeschooled children exempted from state vaccination requirements.
  • WA State Law includes Medical and Religious Exemptions to the MMR, and Medical, Religious, and Personal Exemptions to all other required shots.
  • Everyone qualifies for a religious exemption in the United States because its based on your personal religious beliefs.
  • See our Religious Exemptions Clarified page.
  • The law requires parents filing Medical, Religious, and Personal Exemptions show proof (via a signature on the Certificate of Exemption (COE) or a practitioner signed letter stating) that they have consulted with a practitioners about the risks and benefits of vaccination.
  • ICWA provides a free Risk-Benefit Consultation Service to help parents find a practitioner to provide a consultation and signature.

WA STATE LAW

The Legislature Passes Bills that become Law under the Revised Code of Washington (RCW). Here are the RCW’s pertaining to the Immunization Program. Note that the legislature did not name specific vaccines, they gave that authority to the Board of Health. See WA BOARD OF HEALTH RULES below.


28A.210.060
Immunization program—Purpose.
HTMLPDF 28A.210.070 Immunization program—Definitions.
HTMLPDF 28A.210.080 Immunization program—Attendance of child conditioned upon presentation of alternative proofs—Information regarding meningococcal disease—Information regarding human papillomavirus disease.
HTMLPDF 28A.210.090 Immunization program—Exemptions.
HTMLPDF 28A.210.100 Immunization program—Source of immunizations—Written records.
HTMLPDF 28A.210.110 Immunization program—Administrator’s duties upon receipt of proof of immunization or certification of exemption.
HTMLPDF 28A.210.120 Immunization program—Prohibiting child’s presence—Notice to parent, guardian, or adult in loco parentis.
HTMLPDF 28A.210.130 Immunization program—Superintendent of public instruction to provide information.
HTMLPDF 28A.210.140 Immunization program—State board of health rules, contents.
HTMLPDF 28A.210.150 Immunization program—Superintendent of public instruction by rule to adopt procedures for verifying records.
HTMLPDF 28A.210.160 Immunization program—Rules.
HTMLPDF 28A.210.170 Immunization program—Department of social and health services’ rules, contents.

WA BOARD OF HEALTH RULES

Once the legislature passes a law (RCW), authorized agencies write rules to implement the law. These rules are called the Washington Administrative Code (WAC). Agencies are not allowed to write new laws, they can only write rules that implement the law. Once WACs are adopted, they have the force of the law upon which they are authorized.

IMMUNIZATION OF CHILD CARE AND SCHOOL CHILDREN AGAINST CERTAIN VACCINE-PREVENTABLE DISEASES

HTMLPDF 246-105-010 Purpose.
HTMLPDF 246-105-020 Definitions.
HTMLPDF 246-105-030 Vaccine-preventable diseases children must be protected against for full immunization.
HTMLPDF 246-105-040 Requirements based on national immunization guidelines.
HTMLPDF 246-105-050 Required documentation of immunization status.
HTMLPDF 246-105-055 Philosophical and personal exemption for measles, mumps, and rubella vaccine prohibited.
HTMLPDF 246-105-060 Duties of schools and child care centers.
HTMLPDF 246-105-070 Duties of health care providers or organizations.
HTMLPDF 246-105-080 Criteria for excluding children from schools or child care centers.
HTMLPDF 246-105-090 Implementation.

STATE DEPARTMENT OF HEALTH INFORMATION & FORMS

The Department of Health (DOH) is tasked with a wide range of duties regarding immunization-related RCWs and WACs. Beyond what is required by law, the DOH spends significant federal and state resources marketing vaccination.

DOH IMMUNIZATION MAIN PAGE

Childcare Vaccine Requirement Chart

Preschool through 12th Grade Vaccine Requirement Chart

Certificate of Exemption Form (COE)

Print Friendly, PDF & Email