Students can access immunizations at:

• local pharmacies
• their health care provider
• SPS School Based Health Centers (students ages 4-18) with parent consent
  • List of SBHC schools
  • Map of SBHC schools
• Find an immunization clinic (King County Public Health)
• Washington State Childhood Vaccine Program
• Vaccine Finder

Washington State Law allows exemptions to the immunization requirements for religious, medical, or personal reasons. These are recorded on a Certificate of Exemption (COE).

Certificate of Exemptions (COE) to immunization requirements:

Beginning with applications received after 7/22/2011 exemptions require both parent/guardian and health-care provider’s signature except for certain religious exemptions.

• Certificate of Exemption (COE) Form
• Questions? Call your school nurse or the Health Services Immunizations line at 206-252-0757

Please bring a completed Certificate of Exemption form to your child’s school. Note: Personal exemption is not allowed for MMR (Measles, Mumps, Rubella).

I received notice that my student is missing immunizations but I know they are up to date. How do I fix this?  

If our records are incorrect, we need your help in getting them updated. Please send your student’s medically verified record from your health care provider to immunizations@sagegraphicsnyc.com or fax to 206-252-0751. You can also bring the record to your student’s school.   

Medically verified includes information from:   

• Doctor or clinic  
• State department  
• Immigration office  
• Other official record (even if it’s in a language other than English)  

What if my student has an upcoming vaccination appointment?   

Give your student’s school nurse the appointment date.   

What if I have a lab report from a doctor to prove my student is immune to certain diseases and doesn’t need a vaccine?  

Please share the lab report with your student’s school nurse or send the information to the Student Health Services team at immunizations@sagegraphicsnyc.com or fax to 206-252-0751.

My student received notice saying they can’t attend school until their vaccination records are updated. Can I appeal this decision? 

Yes. To appeal, you must request a hearing from the SPS district office within 10 school business days of receiving this letter. If you do not request a hearing within this time frame, you give up your right to a hearing. A hearing will determine if your child has the required vaccinations, is in the process of getting vaccinated, or has a medical, personal, or religious exemption.