333-050-0250 Documentation of Immunizations (1) Documentation of immunization must be on: (a) A Certificate of Immunization Status form with the required signatures, along with evidence of immunization; or (b) A record from the ALERT Immunization Information System with evidence of immunization. (2) A person at a school or facility who receives a Certificate of Immunization Status form that is signed but not dated, may date the form with the date it was received. (3) If a school or facility receives evidence of immunization that includes the month and year, but not the day the dose was received, the administrator must attempt to get the missing information from the parent, the ALERT Immunization Information System or another source. If no day of dose information is obtained the administrator may use the last day of the month to assess the immunization status for the child. (4) If the parent of a child does not submit all the documentation required in this rule, the children’s facility or school may choose to complete or update a Certificate of Immunization Status form, using one or more of the following records and attaching the respective record to the Certificate of Immunization Status form: (a) A health care practitioner documented immunization record. (b) A record with the immunization information that clearly identifies it as having been created by the health care practitioner or a health system, such as but not limited to: (A) A print-out from an electronic medical record. (B) A print-out from the ALERT Immunization Information System. (C) A print-out from another state’s immunization information system. (c) A print-out from a children’s facility’s or school’s computer system if approved by the Public Health Division (Division) in accordance with OAR 333-050-0300. (d) A written immunization record signed and dated by the parent and provided by the facility or school. (e) An immunization record sent electronically by the parent to the facility or school. (5) If an individual at a children’s facility or school completes the Certificate of Immunization Status form as permitted under section (4) of this rule, it must be signed and dated by that individual. (6) When a child is determined by the facility, school or school district to be houseless and does not have a completed Certificate of Immunization Status on file with the school, the student shall be allowed to enroll conditionally. (a) The enrolling school shall immediately refer the parent or guardian of the student to the school district houseless student liaison who shall assist in obtaining necessary immunizations or screenings, or immunization or other required health records. (b) The enrolling school staff shall make every effort to help the family compile an immunization record for the student, including requesting a record from a previous school, ALERT Immunization Information System or a previous medical provider. (c) If after completion of the steps described in subsection (a) and (b) of this section and review of the student’s individual circumstances, immunization records are not received or are incomplete, the enrolling school shall include the student on the Immunization Report, and the local health department shall proceed as described in OAR 333-050-0290 and 333-050-0310. (7) For children 15 years of age or older, a school may accept a Certificate of Immunization Status form signed by the child. (8) Nothing in this rule is intended to prevent a person from using or accepting an electronic document, using or accepting an electronic signature, or using, accepting, transmitting or storing documents electronically. Statutory/Other Authority: ORS 433.004 & ORS 433.273 Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284 History: PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025