3413 Student Immunization and Life Threatening Conditions

  • Student Immunization and Life-Threatening Health Conditions

    In order to safeguard the school community from the spread of certain communi­cable diseases and in recognition that prevention is a means of combating the spread of disease, the board requires a student to present evidence of them having been immunized against diseases as required by 28A.210 RCW and the Washington State Board of Health 246-105 WAC.

    Exemptions from Immunization
    The district will allow for exemptions from immunization requirements only as allowed for by RCW 28A.210.090 and WAC 246-105-050.

    Meningococcal Disease, Human Papilloma Virus Disease and Vaccine Information Distribution
    At the beginning of every school year, the district will provide to parents/guardians of sixth through twelfth-grade students, information provided by the Washington State Department of Health about meningococcal disease, human papillomavirus disease (HPV) and their vaccines.

    The information will include the causes and symptoms of meningococcal disease, human papillomavirus, how the diseases is are spread, the places where parents/guardians may obtain additional information and vaccinations for their children and current recommendations from the United States Centers for Disease Control Prevention regarding the vaccines.

    Life-Threatening Health Conditions
    Prior to attendance at school, each child with a life-threatening health condition will present a medication and treatment order from a Licensed Healthcare Provider (LHP) addressing the condition.  A life-threatening health condition means a condition that will put the child in danger of death during the school day if the medication and treatment order, providing authority to a registered nurse, and a nursing care plan are not in place.  Following submission of the medication and treatment order, the registered nurse will develop the nursing care plan.

    Students who have a life-threatening health condition and no medication or treatment order presented to the school will be excluded from school, to the extent that the district can do so consistent with federal requirements for students with disabilities under the Individuals with Disabilities Education Act (IDEA) and Section 504 of the Rehabilitation Act of 1973, and according to the due process requirements in School District Procedure 3413P.

    Exclusion from School
    The district will exclude students as required in RCW 28A.210.120 from further presence at the school who are out of compliance with the immunization requirements and students with a life-threatening health condition as required in WA 392-380-045 WAC who do not have a medication or treatment order in place. The superintendent will adopt procedures necessary to implement this policy.

    Cross References:                      
    Board Policy 2100      Educational Opportunities for Military Children                                                   
    Board Policy 2161      Special Education and Related Services for Eligible Students                                                   
    Board Policy 2162      Education of Students with Disabilities Under Section 504                                                   
    Board Policy 3115      Homeless Students: Enrollment Rights and Services                                                   
    Board Policy 3241      Student Discipline                                                   
    Board Policy 3416      Medication at School 
    Legal References:                            
    RCW 28A.210      Health – Screening and requirements                                                         
    WAC 246-105      Immunization of child care and school children against certain vaccine-preventable diseases                                                         
    WAC 392-182      Student – Health records                                                         
    WAC 392-380      Public school pupils ­– Immunization requirement and life-threatening health condition

    Management Resources:  
    Policy News, Aug. 2007      Human Papillomavirus Disease Notification                                         
    Policy News,
    April 2006      Chickenpox Immunization Required                                          
    Policy News,
    June 2005      Distribution of Information on Meningococcal Disease                                           
    Policy News, Oct. 2002      Legislature Addresses “Life-Threatening Conditions”                                          
    Policy and Legal News       June 2011; August 2011; August 2012; August 2018; May 2020

    ADOPTED:  9/24/1992

    REVISED: 04/25/96; 10/23/97; 12/19/2002; 09/22/2005; 05/25/06; 10/25/07; 11/22/11; 10/25/12; 5/23/19; 01/14/21

    Procedure No. 3413P Student Immunization and Life-Threatening Health Conditions 

    Student Immunization and Life-Threatening Health Conditions

    Certificate of Immunization
    Immediately upon enrollment in the district, the student’s parent/guardian must provide proof of immunization status with a Certificate of Immunization Status (CIS), approved by the Washington Department of Health. The CIS will be a part of the student's permanent record.

    If, by the student’s first day of attendance a student does not have the required immunizations , the student’s parent/guardian may submit evidence of having initiated “catch-up” immunization schedule, which will provide the student with “conditional admittance” status. This means the child has received all immunizations they are eligible to receive and are waiting for the recommended date of the next dose according to the national immunization catch-up schedule. Students may attend under conditional admittance status plus another (30) calendar days’ time to turn in documentation of vaccination needed to complete the CIS. If a student is catching up on multiple vaccines, status continues in a similar manner until all of the required vaccines are complete.  If the thirty (30) day conditional period expires and documentation has not been given to the school, then the student will be excluded from school.

    Exemptions from Immunization
    Any and all exemptions will be processed and recorded on a Certificate of Exemption (COE) as provided by the Washington Department of Health (DOH).

    The district will grant exemptions from one or more vaccines for medical reason upon certification by a Licensed Healthcare Provider (LHP) that there is a medical reason for not administering the vaccine.

    The district will grant exemptions for religious reasons upon the parent/legal guardian’s submission of a COE as follows. If a COE states the parent/legal guardian is a member in a religious body or church with beliefs or teachings that preclude a child from receiving medical treatment from a LHP, the LHP signature on the COE is not required. If the COE claims a religious reason, but does not state that the parent/legal guardian is a member in a religious body or church with beliefs or teachings that preclude a child from receiving medical treatment from a LHP, the LHP signature on the COA is required.

    With the exception of the measles, mumps, and rubella vaccine, the district will grant exemptions for philosophical or personal reasons upon the parent/legal guardian’s submission of a COE, signed by an LHP, stating that the parent/guardian has a philosophical or personal objection to the immunization of the child and the LHP provided the parent/guardian with information about the benefits and risks of immunization. The district will not grant an exemption for philosophical or personal reasons from the measles, mumps, and rubella vaccine. The LHP may sign the form any time prior to the district’s enrollment of the child. The district will accept a photocopy of the signed form or a letter from the LHP in lieu of the original form.

    The district will mark the permanent file of students who have exemptions for easy identification should the local department of health order that exempted students be excluded from school temporarily during an outbreak or an epidemic. 

    If the district does not receive proof of immunization status on a CIS or a COE upon the student's enrollment in school, the principal or designee will provide written notice to the parents/guardians informing them of:

    1. The immunization requirements;
    2. The potential that the student will be denied unless documentation needed to complete the CIS or COE is provided within thirty (30) calendar days of the student’s first day of attendance;
    3. The procedural due process rights; and
    4. The immunization services available. 
    Exclusion from School

    Following proper notification, the school will exclude the student for noncompliance with the immunization laws, subject to the appeal procedures for student expulsions, consistent with 3241 – Student Discipline. Parents have a right to a hearing provided they notify the school within three (3) days after receiving the exclusion order from the school principal. If the parent requests a hearing, the district will notify in writing the parent or guardian and school principal of the time and place for the hearing and will present the case to a hearing officer appointed by the superintendent. 

    ADOPTED: 10/25/2007
    REVISED: 11/22/11; 10/25/12; 01/24/13; 5/23/19; 01/14/21




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