DOH Form 348-013 Certificate of Immunization Status (Cis) - Washington (English / Russian)

DOH Form 348-013 Certificate of Immunization Status (Cis) - Washington (English / Russian)

What Is DOH Form 348-013?

This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DOH Form 348-013 Certificate of Immunization Status (CIS)?
A: DOH Form 348-013 Certificate of Immunization Status (CIS) is a document used in Washington to record a person's immunization history.

Q: Why is the CIS form important?
A: The CIS form is important because it helps ensure that individuals are up-to-date on their immunizations, which is important for public health.

Q: Who needs to complete the CIS form?
A: Parents/guardians of children and healthcare providers are typically responsible for completing the CIS form.

Q: What information is included in the CIS form?
A: The CIS form includes information about the individual's personal details, immunization history, and healthcare provider information.

Q: Do I need to submit the CIS form to the school?
A: Yes, in Washington, the CIS form is typically required to be submitted to the school or childcare facility as proof of immunization.

Q: Can I submit the CIS form in a language other than English?
A: Yes, the CIS form is available in both English and Russian to accommodate individuals who are more comfortable in those languages.

Q: Is the CIS form mandatory?
A: Yes, in Washington, the CIS form is mandatory for school entry and must be completed and submitted before a child can attend school or childcare.

Q: How long is the CIS form valid?
A: The CIS form is generally valid for as long as the individual's immunization status remains up-to-date, but it may need to be updated if new immunizations are required.

Q: What should I do if I lost my CIS form?
A: If you lose your CIS form, you should contact your healthcare provider or the Washington State Department of Health to obtain a replacement form.

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Form Details:

  • Released on June 1, 2021;
  • The latest edition provided by the Washington State Department of Health;
  • Easy to use and ready to print;
  • Available in Amharic;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of DOH Form 348-013 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 348-013 Certificate of Immunization Status (Cis) - Washington (English / Russian)

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