Central Kitsap School District

If you choose to exempt your child for medical, religious, or personal/philosophical reasons, you must submit a valid Certificate of Exemption (COE) form. Personal/philosophical exemptions cannot be used for measles, mumps, and rubella requirements. If the COE exempts all of the required immunizations, a CIS is not needed. If the COE only exempts some of the required immunizations then both a CIS and COE need to be turned in.

• Certificate of Expemption (COE) form (PDF) | Español (PDF) | Tagalog (PDF) | Tiếng Việt (PDF)
• Exemption Quick Reference Guide (PDF) Español (PDF)

Types of licensed health care providers in Washington state who can sign the COE form:

• Medical Doctor (MD)
• Doctor of Osteopathy (DO)
• Naturopathic Doctor (ND)
• Advanced Registered Nurse Practitioner (ARNP)
• Physician Assistant (PA)