EHS Student Health Information
Eastmont Senior High School Parents
Please take a moment to fill out the REQUIRED:
EHS 2022-23 Student Health Information Forms
This is an annual Health form to help us better care for your student(s) while they are here at school. This information will be made available to our EHS staff members to better support your student(s) while they are on campus. If your child(ren) have
No health concerns, please make that selection to No health problems, and submit.
If you have any questions, or trouble completing the form, please contact your school nurse.
Your School Nurse
Rochelle Jessup MSN, RN
Eastmont School District Nurse
EHS & Wee Wildcats Preschool
Student Health Information Forms URL:
School Module for Immunization Records
The Eastmont School District has changed how we manage student immunization records. We are now using the School Module, an online system provided by the Washington State Department of Health.
The School Module allows us to quickly and efficiently check if your child has the vaccines required for school. This will save us time on finding and entering vaccination dates and free up time to work with students.
Most children born and/or vaccinated in Washington already have their information in the system. You can access your child’s record at any time by signing up for MyIR Mobile at https://myirmobile.com/washington-register/.
As we move to this system, the school nurse may ask you for more information about your child’s vaccination history. If your child is missing vaccines in the system, we may ask for a copy of their immunization record. If the Certificate of Immunization Status (CIS) form is not signed, we may ask for the CIS to be signed by a parent or guardian and returned to your child’s school.
If you have any questions, please feel free to contact the school nurse.
Thank you for your partnership!
Immunization Requirements: Preschool-12th
Washington State approved changes to immunization policy that went into effect in August 2020.
What are “Medically Verified” Records?
Immunization records now need to be printed from the IIS or MyIR or have additional verification.
Medically verified records include one of the following:
What options are available for students who do not meet the requirements?
Children can be granted conditional status into school or child care who are making progress towards completing their immunization requirements. Children may begin school or child care only if they received all the required immunizations, they are due to receive and submit medically verified records on or before the first day of attendance.
If additional immunizations are needed after receiving all immunizations, they are eligible to receive before starting school, children may start school or child care in conditional status and remain until the next dose becomes due. Children then have 30 calendar days to turn in updated records showing they received missing doses. If additional doses are due, conditional status continues until all required immunizations are complete. If the 30 days pass without updated records, the child will be excluded from school.
Human Papillomavirus (HPV) Disease and Prevention
The Washington State Legislature requires us to make information available to you about human papillomavirus (HPV). Know the facts about these diseases and the vaccines available to protect your child.
What is HPV?
HPV is a common virus. Most people exposed to HPV will never develop health issues. But for others, HPV causes major health problems, including cervical, anal, vulvar, mouth, and throat cancer. Most infected people have no symptoms and may spread the virus without knowing it. HPV spreads mainly through sexual contact.
How can I protect my child from HPV?
Make sure your child gets the HPV vaccine. The vaccine is highly effective. The best time to get it is before sexual activity ever starts. The HPV vaccine can prevent infection from some of the most common and serious types of HPV that cause cancer and genital warts. The vaccine does not get rid of existing HPV infections.
Who should get the vaccine and when should they get it?
Three doses of HPV vaccine are recommended for all boys and girls starting at ages 11 to 12. It is recommended for females up to age 26 and for men up to age 21. In addition to HPV vaccine, your 11 to 12 year-old should receive Tdap and meningococcal vaccines.
Where can I find the HPV vaccine?
Ask your doctor, nurse, or area pharmacist about the vaccine and where you can get it.
Washington State Department of Health
Centers for Disease Control & Prevention
American Cancer Society
Meningococcal Disease and Prevention
The Washington State Legislature requires us to make information available to you about meningococcal disease. Know the facts about these diseases and the vaccines available to protect your child.
What is meningococcal disease?
Meningococcal disease is a serious bacterial infection. Fortunately, this life-threatening illness is rare, with only 20-50 cases reported each year in Washington. The most common symptoms of the disease include fever, cough, headache, and rash. It can cause meningitis (swelling of the covering of the brain and spinal cord). The disease spreads through close contact with an infected person. Teens and young adults are more likely to get meningococcal disease, especially if they live in group settings like college dorms.
How can I protect my child from meningococcal disease?
The meningococcal vaccine, or MCV4, prevents against four types of the disease. It is recommended for all children between 11 and 12 years of age, and again at 16 to 18 years of age.
Where can I find the meningococcal vaccine?
Talk to your doctor, nurse, or area pharmacist to learn more. Washington offers free vaccines to kids through age 18. Providers may charge an office visit fee or administration fee to give the vaccine. People who can’t afford these fees can ask to have them waived.