Name: First Name: Middle Initial: Birthdate (mm/dd/yyyy): Sex: Symbols below: Vaccine  Required for School and Child Care/Preschool  Required for Child Care/Preschool Only Dose Date Month Day Vaccine Year  Hepatitis B (Hep B) 1 2 3 or Hep B - 2 dose alternate schedule for teens 1 2 Rotavirus (RV1, RV5) 1 2 3  Diphtheria, Tetanus, Pertussis (DTaP, DTP, DT) 1 2 3 4 5  Tetanus, Diphtheria, Pertussis (Tdap, Td) 1 2  Haemophilus influenzae type b (Hib) 1 2 3 4  Pneumococca.

How it works
  • Open form

    Open form follow the instructions

  • Easily sign form

    Easily sign the form with your finger

  • Share form

    Send filled & signed form or save

How to fill out the WA DOH 348-013 online

The Washington State Certificate of Immunization Status (DOH 348-013) is an essential document for providing proof of immunization for children attending school or child care. This guide offers clear, step-by-step instructions to help you complete the form accurately and efficiently online, ensuring the information meets necessary requirements.

Follow the steps to complete the WA DOH 348-013 form online.

  1. Click ‘Get Form’ button to access the WA DOH 348-013 online version and open it for editing.
  2. In the first section, enter the child’s last name, first name, middle initial, birthdate (in mm/dd/yyyy format), and sex. Make sure that all information is accurate and clearly entered.
  3. For each vaccine received, find the corresponding disease and enter the details. Record the dose number (1, 2, or 3 as applicable) and the date each vaccine was administered in the specified month, day, and year columns.
  4. If your child had chickenpox, choose one of the four verification options provided and mark the appropriate box. Ensure to provide any necessary documentation as instructed.
  5. For indications of disease immunity through laboratory evidence, check the appropriate boxes and attach any signed lab reports if necessary.
  6. After filling out the form, review all entries for accuracy. Ensure that you, as the parent or guardian, print your name and provide your signature along with the date in the designated areas.
  7. Finally, save your changes, then download, print, or share the completed form as required for submission to the appropriate school or child care facility.

Complete your WA DOH 348-013 form online today to ensure your child meets immunization requirements for school or child care.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

Certificate of Immunization Status (CIS) Reviewed...

Deaf or hard of hearing call 711 (Washington Relay) or doh.information@doh.wa.gov. DOH...

Learn more
Certificate of Immunization Status (CIS)

DOH 348-013 January 2010. Please print. See back for instructions on how to...

Learn more
Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

What if I refuse to vaccinate my child?

If you choose not to vaccinate your child, it is crucial to understand the implications, such as potential challenges in school enrollment or participation in public activities. The WA DOH 348-013 provides resources and information on exemptions and alternatives that may be available. Consulting with your healthcare provider can also help inform your decision regarding vaccination.

To obtain a certificate of immunization status in Washington State, submit a request through your healthcare provider or local health department. You can also utilize the Washington Immunization Information System to access your records. Reference the WA DOH 348-013 for detailed instructions on how to acquire this documentation easily.

You can check an individual's vaccination status by asking them to provide their vaccination card or documentation from a healthcare provider. While personal privacy must be respected, the WA DOH 348-013 can guide you on what information is permissible to request. Always approach this matter with sensitivity and understanding.

In Washington State, several vaccines are mandatory for school enrollment, including the MMR, DTaP, and polio vaccines, among others. The WA DOH 348-013 outlines these requirements clearly. Make sure your child is up to date with these vaccinations to avoid any issues at school registration.

To prove that you are COVID vaccinated, present your vaccination card, health department records, or digital vaccine passports if available. You can reference your WA DOH 348-013 documents for the specific dates and types of vaccines you received. This ensures recognition of your vaccination status at schools, workplaces, or while traveling.

Proof of COVID vaccination can include a vaccination card issued by your healthcare provider, an official health record, or a digital certificate from a recognized health authority. Keep your WA DOH 348-013 documentation safe, as it serves as proof that you have received your vaccine. Inquiries about acceptable forms of proof can be directed to your state’s health department.

Being fully vaccinated typically means you have received all doses of a COVID vaccine as recommended, usually two doses for Moderna or Pfizer, or one dose for Johnson & Johnson. According to the WA DOH 348-013 guidelines, you must wait at least two weeks after your final dose for full effectiveness. This definition may vary, so it's essential to stay updated on local health department recommendations.

To find out if you have been vaccinated, you can check your personal health records. Your healthcare provider or local health department may also provide vaccine information. Additionally, consider referring to your vaccination card or the WA DOH 348-013 for official records. If you need further assistance, uslegalforms can help you obtain necessary documentation.

To obtain a hard copy of your immunization records, contact your healthcare provider or clinic where you received your immunizations. They can provide you with the necessary documentation, in line with the WA DOH 348-013 standards. If you’re facing difficulties, platforms like uslegalforms can help guide you through the process of retrieving your records smoothly.

A vaccine certificate and a vaccine card serve similar purposes, but they are not exactly the same. The vaccine card is often printed and given at the time of vaccination, while the certificate can be an official document that verifies your immunization status as per the WA DOH 348-013 guidelines. Both documents are essential for various health requirements, so it’s good to have both.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

If you believe that this page should be taken down, please follow our DMCA take down process here.

WA DOH 348-013 Form

This form is available in several versions. Select the version you need from the drop-down list below.

Get WA DOH 348-013