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Immunizations and Health

Health Alert

September 8, 2014 - Recently, the news has been reporting about an increase in the number of children in the Midwest who are being hospitalized due to complications from a viral infection (Enterovirus D68).  Click here to read the District's recent article on the subject or click here to visit the CDC's website.

Our goal is to provide a safe and healthy environment for your child. Staff is available at every school to assist students with health needs and dispense medication as needed per doctor’s prescription and parent instructions. Your school can provide you with their health and medication procedures.

Please call your school’s attendance line as soon as possible if your student will need to stay home from school due to illness or miss part of the day for an appointment. This ensures their nonattendance is recorded as an excused absence.

Oregon state law requires that students have received appropriate vaccinations for school entry. To view the State of Oregon’s complete list of Immunization and Dosage Requirements, click here.

Kindergartners and other students new to the District will not be allowed to start school without the required immunizations.

School administrators are required to exclude from school those students not having proof of at least one dose of each of the above-noted immunizations. The only exceptions are those children who have health problems that would prevent them from receiving the inoculations and those whose religious teachings oppose immunizations.


Immunization Exclusion Day - annual date designated by the State Health Department - when students without complete immunizations or exemptions are sent home and not allowed to return to school until the requirements are completed.

For the 2013-14 school year, exclusion day is Wednesday, February 19, 2014.


Beginning March 1, 2014, there is a new process parents must follow to claim a non-medical exemption and opt out of required immunizations for school.  Senate Bill 132A requires that parents who would like to claim non-medical exemptions must submit a document showing either:

  • A signature from a health care provider verifying discussion of the risks and benefits of immunization, or
  • A certificate of completion of an interactive online educational video about the risks and benefits of immunization.

An informational flyer about the new regulations is provided here and a Q&A document is available here.


Getting Immunizations
Immunizations may be obtained from your medical provider. Also, the Washington County Health & Human Services (HHS) Department operates several clinics that offer a variety of services, including immunizations. Please visit the
Washington County HHS web site or contact them at (503) 846-4955 for more information about services and locations.

When to Keep Your Child Home  ¿Demasiado  enfermo para la  escuela?
In the school environment many communicable diseases are easily transmitted from one student to another. A healthy environment involves prevention, early recognition of illness, symptoms, prompt diagnosis and treatment. Children who are not feeling well have a difficult time concentrating and therefore do not benefit from the instruction they receive during that time. Please do not send an ill child to school. We need your assistance in providing a safe and healthy environment for your child.

Below are some guidelines to help you make the decision about when to keep your child home from school.  The recommendations are based on the guidelines provided by the Communicable Disease Program of the Washington County Department of Health and Human Services.  They were developed to help prevent the spread of potentially contagious disease.

Keep your child home if she/he has any of the following symptoms:

Greater than 100.5 F.  May return when fever-free for 24 hours (WITHOUT the use of fever-reducing medication such as Tylenol®, acetaminophen, Advil®, Motrin®, ibuprofen, aspirin).
At least one unexplained vomiting episode in the past 24 hours.  May return 24 hours after last episode.
Three or more unexplained episodes of watery or loose stools in 24 hours OR sudden onset of loose stools.  May return 24 hours after last episode.
Any new rash accompanied by a fever.  May return after rash goes away or clearance given by a health care provider.
Skin Lesions (Sores)
Drainage from a sore that cannot be contained within a bandage OR sores are increasing in size OR new sores are developing day-to-day.
Serious, sustained coughing, shortness of breath, or difficulty breathing.
Symptoms that prevent the student from active participation in usual school activities OR student is requiring more care than school staff can safely provide.


Home is the best place for a child who is ill.  If your child is sick with a diagnosed communicable disease, please notify the school as soon as possible.  This notification will greatly assist others who, due to medical reasons and/or treatments, have weakened immune systems and may require immediate and specialized care.

Health-Related Links & Documents

Cover Oregon Health Insurance Website

Cover Oregon Health Insurance Flyer (English & Spanish)

Cover Oregon Health Insurance Brochure - English

Cover Oregon Health Insurance Brochure - Spanish

¿Demasiado  enfermo para la  escuela?

Disease Exclusion Brochure - English (Oregon)

Disease Exclusion Brochure - Spanish (Oregon)

Disease Exclusion Spreadsheet (Washington County)

Disease Exclusion Checklist (Tri-County)

Flu, Everyday Prevention Flyer

Flu Guide for Parents Flyer

Flu Information Website (Washington County)

Flu and Norovirus Letter, 10/6/14 - English (Washington County)

Flu and Norovirus Letter, 10/6/14 - Spanish (Washington County)

Flu, Only You Can Stop Flyer

Flu, Non-polio Enterovirus EV-D68 (Centers for Disease Control)

Flu Prevention Information Website (Oregon Department of Public Health)

Flu Prevention Tips Website (Centers for Disease Control)

Flu Web Tools Website (Centers for Disease Control)

Head Lice Facts - English

Head Lice Facts - Spanish

Head Lice Protocol - English

Head Lice What to Do - English

Head Lice What to Do - Spanish

Head Lice Information Website

Immunization Exclusion Information for Parents

Immunization Exclusion Q&A

Oregon Immunization and Dosages Flyer - English

Oregon Immunization and Dosages Flyer - Spanish

Oregon Immunization Requirements Website

Oregon Acute & Communicable Diseases and Prevention Website

Pertussis (Whopping Cough) Fact Sheet

Pertussis (Whopping Cough) Information Website

Too Sick for School?

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Hillsboro, OR 97124
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