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Most schools and daycares in Washington State require a Certificate of Immunization Status (CIS) form for enrollment. Please complete the Immunization Records Request Form above and allow 7-10 business days (Monday - Friday) for our office to complete requests.


The doctors in our practice know that vaccines, or immunizations, save lives. Immunizations prevent complications, disability, hospitalization, and death from disease. Visit our Childhood Immunizations page for more resources about immunizations. We are committed to discussing vaccinations and preserving relationships with families who decline or alter the recommended vaccine schedule. However, we do ask that these families sign a Refusal To Vaccinate Form to acknowledge acceptance of responsibility and potential consequences of vaccine refusal. Please schedule a visit with your child's primary care provider (PCP) if you need a Certificate of Exemption Form completed that requests exemption from vaccines for personal, philosophical, religious, or medical reasons.