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Certificate of Immunization Status (CIS) 2026

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The document is a Certificate of Immunization Status (CIS) used to record and verify a child's vaccination history for school and childcare requirements. It includes sections for personal information, vaccine details, and options for verifying immunity to diseases. Instructions are provided for completing the form either by printing from the Immunization Information System or filling it out by hand.

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Click ‘Get Form’ to open the Certificate of Immunization Status (CIS) in our editor.
Begin by entering your child’s last name, first name, middle initial, birthdate, and sex in the designated fields at the top of the form.
In the vaccine section, list each vaccine your child has received. For each vaccine, fill in the corresponding dose number and date received in the Month, Day, and Year columns.
If your child had chickenpox disease instead of receiving the vaccine, select one of the verification options provided and ensure any necessary documentation is attached.
Complete the Documentation of Disease Immunity section if applicable. Have your healthcare provider sign and date this section along with attaching lab reports as needed.
Finally, ensure that you sign and date the CIS before submitting it to your child's school or childcare facility.

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What are the three types of immunization?

There are several types of vaccines: Live-attenuated vaccines use a weakened form of the germ. Inactivated vaccines use a killed version of the germ. Subunit, recombinant, polysaccharide, and conjugate vaccines use only specific pieces of the germ, such as its protein, sugar, or casing.

What does immunization status mean?

Complete or fully immunization status means that a child has. received all immunizations required for age. Conditional. Conditional immunization status refers to a temporary status. when a child does not have an immunization against one or more of the vaccine-preventable diseases required by law.

Which immunization is most important?

Heres a look at the six important vaccines every adult needs. Tdap or Td. Tetanus, diphtheria, and pertussis (whooping cough) are highly contagious and life-threatening, especially for infants under six weeks of age. MMR. Chickenpox. Hepatitis A and B. Flu. Pneumococcal.

What is the difference between live and killed vaccines?

Live virus vaccines use a weakened (attenuated) form of the virus. The measles, mumps, and rubella (MMR) vaccine and the varicella (chickenpox) vaccine are examples. Killed (inactivated) vaccines are made from a protein or other small pieces taken from a virus or bacteria.

What are the major types of active immunization?

Types of immunizations Type of vaccineComponents Live, attenuated Viral or bacterial organism with reduced pathogenicity; nonreplicating forms (viral) Killedinactivated Whole killed organism VLPs Empty virus shells that mimic physical structure of viral agents; no internal nucleic acids3 more rows

certificate of immunization status cis

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How do I get a cis form in Washington state?

You can also print a CIS at home by signing up and logging into MyIR at . If your provider doesnt use the IIS, email or call the Department of Health to get a copy of your childs CIS: waiisrecords@doh.wa.gov or 1-866-397-0337. To fill out the form by hand: 1.

What is a certificate of immunization status?

Vaccination records (sometimes called immunization records) provide a history of all the vaccines you or your child received. This record may be required for certain jobs, travel abroad, or school registration.