Required Health Forms

Immunization Requirements: K-12

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Immunization Requirements: Pre-K

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2021-2022 Certificate of Immunization Status (CIS) Form

New students enrolling in BSD for the 2021-2022 school year must use this CIS form. Learn about changes to the Washington State immunization policy.

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Other languages are available on the Washington State Department of Health website.

Confidential School Nurse Information

Please complete this document when you register your student for school, or if there are any medical updates you would like us to know about at. Once completed, deliver this form to your school nurse.

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The Bellevue School District acknowledges that we learn, work, live and gather on the Indigenous Land of the Coast Salish peoples, specifically the Duwamish and Snoqualmie Tribes. We thank these caretakers of this land, who have lived and continue to live here, since time immemorial.

The Vision of the Bellevue School District is to affirm and inspire each and every student to learn and thrive as creators of their future world.

Required Health Forms

Immunization Requirements: K-12

Immunization Requirements: Pre-K

2021-2022 Certificate of Immunization Status (CIS) Form

Confidential School Nurse Information

Medication Authorization Form

Medical History & Exam for High School Athletics

Middle School Tdap Vaccination Form

G-Tube Feeding Orders

Treatment Authorization Form