FAQs • Snohomish County Health Department, WA • CivicEngage

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COVID-19 FAQs

1. WHAT TO KNOW ABOUT COVID-19 VACCINATION: A separate webpage and FAQ is available specifically for COVID vaccine information. Find that information at www.snohd.org/covidvaccine.

2. WHAT IS A CORONAVIRUS?: A coronavirus describes a large number of viruses that usually cause mild respiratory illness. There are coronaviruses that have caused more severe illness, such as severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS). Novel coronavirus 2019 is a new coronavirus, first identified in late 2019, and can cause severe illness. Other terms you may see used to name this virus include: COVID-19, SARS-CoV-2, or 2019-nCoV.

3. WHAT ARE SYMPTOMS OF CORONAVIRUS?

This is a respiratory illness. Symptoms include cough, fever, sore throat, difficulty breathing, chills, fatigue, muscle or body aches, headache, new loss of taste or smell, nausea or vomiting, diarrhea, and congestion or runny nose. New symptoms have been identified over time and the CDC has a full list.

The degree of severity of these symptoms varies. There have been many deaths from this illness. However, most cases do not appear to be severe.

It is possible to be ill with the virus and exhibit mild symptoms or no symptoms.

4. WHERE DID THIS VIRUS COME FROM AND HOW IS IT SPREAD?

Like MERS and SARS, COVID-19 closely resembles coronaviruses found in bats but not humans. Scientists believe that the virus had a change in its genes that permitted it to spread to humans, possibly via an intermediate carrier in an animal market in Wuhan, China.

The virus can be transmitted from person to person via droplets that come from the nose or mouth, especially when we cough or sneeze. Human coronaviruses most commonly spread from an infected person to others through: the air by coughing and sneezing, close personal contact like shaking hands, or touching a surface with the virus on it and then touching your mouth, nose or eyes before washing your hands.

5. WHAT IF I HAVE BEEN IN CLOSE CONTACT WITH SOMEONE WHO HAS COVID?: If you find out you have been exposed to COVID, it can be scary and stressful. It is important to monitor your symptoms and test as soon as possible. Mask up and limit interactions with others who are at high risk of severe illness until you get a negative COVID test result. Stay home and away from others if you develop any symptoms of illness. Find more information in the guidance from the Washington State Department of Health.

6. HOW MANY COVID-19 CASES ARE THERE IN SNOHOMISH COUNTY?

Our updates on case counts are published at www.snohd.org/casecounts.

More information also is available in the Washington State Department of Health COVID data dashboard.

7. ISN’T THIS VIRUS BASICALLY JUST THE FLU?: No. It is true that we lose lives every year during flu season, and that many of the same strategies for preventing the spread of flu – washing hands, disinfecting surfaces, staying home while ill – are helping us fight COVID-19. But it’s crucial that you don’t mix up COVID-19 and the flu.

8. ARE PUBLIC GATHERINGS BEING CANCELED?: Many public gatherings and activities have resumed. Please be sure to respect the rules of the venue, which may include masking or distancing. Stay home if you feel ill.

9. DO PEOPLE NEED TO WEAR FACE COVERINGS/MASKS?

Statewide mask mandates have been lifted as of March 12, 2022. Masks must still be worn in certain situations, such as in healthcare facilities. Private businesses may still require masks in their facilities, as well. People may still choose to wear masks for personal reasons, such as a compromised immune system.

There is a lot of great information out there on masking, including from the Washington State Department of Health, the Centers for Disease Controls and Prevention, the Department of Labor and Industries, and Governor Jay Inslee. We encourage you to check out those resources.

10. HOW DO I SAFELY DISPOSE OF USED FACE MASKS?

For disposable face masks, remove while distanced from others and place into a trash receptacle. A standard trash can for garbage is fine. Used masks do not need to be disposed of in a dedicated medical or hazardous waste receptacle. Wash or sanitize hands after removing and disposing of the mask. If possible, it is helpful to the cut the strings of the mask to prevent them from tangling around wildlife if the mask does not stay contained in a trash receptacle. Please do not litter masks on the ground.

For reusable cloth face coverings that have worn out and can no longer be re-used, wash them as you normally would (by hand or in a washing machine), let them dry, and then dispose of them in the garbage as you would a disposable face mask.

For healthcare workers in a medical setting, follow proper procedures for donning, doffing and disposing of personal protective equipment.

11. WHAT ARE THE RULES FOR BUSINESSES AND ORGANIZATIONS?

As of March 12, 2022, masks are not required in most business settings. Private businesses and organizations may still require mask use, and masks will still be required in some situations, including healthcare facilities and public transportation. Please respect the rules of the room you are in. For a full list of places where face coverings are required, please go here.

Businesses and organizations should follow statewide health and safety guidance, as well. Maintain frequent cleaning, sanitizing and handwashing, and ensure that employees are staying home if they are ill. Have a plan in case there is a COVID illness in your workplace. Unvaccinated workers still need to quarantine if exposed to a positive COVID case in the workplace.

12. WHAT IS SOCIAL/PHYSICAL DISTANCING?: It’s a common strategy for reducing the spread of disease. The closer the contact between people – and the more people in a group – the greater the risk of passing along viruses. Distancing of at least six feet from non-household members was recommended throughout much of this pandemic. While distancing requirements have lifted in most venues, please continue to be respectful of distance from others, particularly in crowded areas.

13. DOES THE HEALTH OFFICER REALLY HAVE THE AUTHORITY TO RESTRICT ACTIVITIES?

A combination of Health Officer’s Orders, Governor’s Orders and State Secretary of Health’s Orders have been issued during this response. The Governor and Secretary of Health can issue orders for the state – including Snohomish County – and the Health Officer also has the authority to issue orders specifically for Snohomish County.

First, we do not take these measures lightly. They are carefully considered and based on the best information we have about this virus and the ability to reduce transmission. We know these rules have a large impact on our communities. However, they are crucial for the preservation of lives.

In Washington, the state Legislature enacts statutes, the Governor and state agencies enforce laws and promulgate regulations, and the courts interpret the laws.

RCW 70.05.070 lays out the powers and duties of a local health officer. This includes: “Take such action as is necessary to maintain health and sanitation supervision over the territory within his or her jurisdiction.” These measures are put in place to maintain the health of the people of Snohomish County.

14. WHO SHOULD BE TESTED?

There are currently no restrictions for who can be tested for COVID-19 in Washington. The highest priority for testing is still people with symptoms. If you are ill with any of the following symptoms, please seek testing as soon as possible. Even if you are vaccinated, you should get tested if you become ill with COVID symptoms. Learn more at www.snohd.org/testing.

• Fever or chills

• Cough

• Shortness of breath or difficulty breathing

• Fatigue

• Muscle or body aches

• Headache

• New loss of taste or smell

• Sore throat

• Congestion or runny nose

• Nausea or vomiting

• Diarrhea

15. WHAT IF I CAN’T GET AN APPOINTMENT WITH MY PROVIDER?

The response to COVID-19 has demanded a tremendous amount from our health care system. The role of the healthcare system in this response is diagnosis, treatment, ongoing care, and addressing individual health concerns.

Healthcare and dental providers may ask you to postpone non-urgent visits or procedures. They may also be providing tele-health options (consultations by phone or online).

For people with non-COVID health needs that are urgent, such as signs of stroke or heart attack or serious chronic conditions that require care, they should continue appointments with their medical provider and should not be afraid to seek emergency care at a hospital. Hospitals are taking measures to keep all patients healthy and safe and to prevent spread of COVID-19 to any other patients.

If your symptoms worsen, call your healthcare provider for further instructions. If you are experiencing a life-threatening situation, call 911. If you have a mask, try to put that on before first responders arrive.

16. HOW LONG IS SOMEONE CONTAGIOUS?

Based on our current understanding of this disease, symptoms may appear 2 to 14 days after exposure, and people are believed to be contagious up to two days before they become ill. Someone who is infected is most likely to spread the illness when they are actively coughing or sneezing.

It is possible for people to spread the illness when they have mild symptoms or no symptoms. It is also possible that an undetected case who self-isolates because they were exposed or are not feeling well could be contagious after their symptoms go away.

17. IS THERE A VACCINE FOR 2019 CORONAVIRUS?: Yes. The first vaccine to protect against COVID-19 was authorized for use in the U.S. in December 2020. There are now multiple vaccines available. Information about COVID vaccination is available and updated frequently at www.snohd.org/covidvaccine.

18. HOW IS THIS VIRUS TREATED?: The large majority of people with COVID-19 recover with their own immune response. Treatment is supportive care for symptoms, fluid intake, and isolation/observation. About 10-20% of cases appear to have severe enough disease to require hospitalization. Those patients also receive supportive care and treatment for complications of the infection (pneumonia, problems breathing, etc.). Other treatment options are being studied and implemented as they are available.

19. WHAT SHOULD I DO IF I GET SICK?

If you feel sick with any COVID-19 symptoms (see Question 3 above), immediately self-isolate. Stay home and away from others. Call your health care provider before going to get care and tell them about your symptoms as well as any recent travel or contact with someone who has COVID-19. They can provide you instructions for seeking care so that you do not expose others.

Even if you are vaccinated, you should get tested if you become ill with COVID symptoms. While rare, it is possible for vaccinated individuals to test positive for COVID-19. These are called “breakthrough” cases and you should follow the same advice as unvaccinated people who test positive. Find more info on what to do if you test positive here.

20. WHAT EARLY TREATMENTS ARE AVAILABLE?

Early intervention with monoclonal antibody therapy can reduce the risk of severe illness and hospitalization for people with COVID-19 who are at high risk of developing more serious illness. Monoclonal antibody (mAb) therapy is available in Washington state with a provider’s recommendation for certain high risk individuals.

If you think you might qualify, please speak to your healthcare provider first and get a referral before contacting these sites to arrange an appointment. There is limited capacity at certain sites, and it is preferred that individuals contact these facilities over the phone to arrange an appointment time, in order to limit exposure for staff and other patients.

Find Monoclonal Antibody Treatment

People who have had symptoms for 10 days or less should be referred for treatment by their healthcare providers and directed to available infusion locations.

There is no cost to anyone for the antibodies themselves, but there may be treatment fees. If you do not have insurance, ask the facility if there will be a charge.

Find Oral Antibody Treatment

To receive Paxlovid or Monulpiravir, individuals with COVID-19 require a prescription from a healthcare provider and a lab-confirmed COVID-19 positive test to start treatment withing 5 days of symptom onset.

Please contact your healthcare provider if you have COVID-19 and would like to receive oral antivirals.

For more information about early treatment options, please go here.

21. WHAT CAN I DO TO PREVENT THE SPREAD?

We cannot emphasize enough the importance of standard prevention steps for respiratory illness. Continue to practice those. Increase frequency of handwashing, make sure you are cleaning and disinfecting high-touch surfaces, and stay home if you are ill. All of these are key for slowing the spread of illness.

As of March 12, 2022, cloth face coverings are no longer required in public indoor locations. They are recommended outdoors in large groups and crowded venues. Private businesses and organizations may still require mask use in their facilities. Maintaining a 6-foot distance between you and other people (social distancing) continues to be helpful, and distance should be maintained even while wearing a mask whenever possible.

Medical providers have specific guidance on masks and personal protective equipment and should follow that guidance.

Please respect the orders and rules put in place to help reduce the spread of illness. We are relying on our community to do the right thing to keep people safe and healthy.

Set up a separate room in the household for someone who is sick and clean the room regularly. Have cloth face covers for members of the household who need to go in public, and for the sick person when they need to go into other areas of the house.

Know your neighbors or friends in the area and be ready to support each other during an emergency. Check in on those who live alone or have underlying health conditions and may need extra support. If you live alone, talk to your friends and family members about who would be available to call or message to check in on you if you become sick.

Through all of this, remember to stay calm, prepared and informed. Check reliable sources for updates and follow the advice of public health professionals.

22. WHAT ABOUT PEOPLE WHO ARE IMMUNOCOMPROMISED OR AT HIGHER RISK?

People who have underlying conditions or are otherwise immunocompromised are at higher risk from this illness, as well as other illnesses like the flu. Avoiding contact with ill people is crucial.

If a household member of someone who is immunocompromised is suspected of having or confirmed to have coronavirus, the CDC instructs healthcare professionals and local public health staff to assess isolation options for the COVID-19 patient outside of the home so that they are not in proximity to the immunocompromised household member.

If you do not have an ill household member but are immunocompromised, talk to your healthcare provider about what steps you should take to protect yourself. Please follow your healthcare provider’s guidance and keep in mind that masks are not the best option for everyone with a vulnerable immune system.

Learn what options your healthcare provider may have for remote consultations, by phone or online. This can help you get your questions answered before going into a clinic, thereby minimizing exposure to this virus as well as other illnesses.

23. SHOULD I KEEP MY KIDS HOME?

Remember that if your child is showing any symptoms of illness, they should remain home from school, child care and other activities. Whether the symptoms may be COVID, flu or a cold, it is important to take steps to prevent spreading illness to others. Parents who have concerns about health risks should contact their healthcare provider.

Follow guidance from public health staff and your medical provider for staying home and isolating. See general quarantine and isolation timeline guidance here. If your child develops symptoms, contact their medical provider and ask about testing for COVID-19.

If your child is fully vaccinated, they do not have to quarantine for 14 days following an exposure unless they have symptoms.

For school-age children, please be sure to monitor communications from your school and school district regarding plans for the school year as well as health and safety measures the schools have in place.

Schools and child care providers must meet health and safety requirements. A few highlights of the requirements are: excluding sick employees from work; sending sick children home; meeting all CDC recommended cleaning and disinfecting procedures; and ensuring proper hand hygiene and sanitation are readily available to all children and staff. More information for schools and child cares is available at www.snohd.org/533/COVID-19-Info-for-Schools-and-Child-Care.

Plans may vary based on local conditions and considerations for schools and child cares. Child care providers also may make individual decisions to close due to staffing or health issues, or they may need to close or modify their operations if a staff member or child becomes ill with COVID-19.

24. WHY ISN’T THERE A LIST OF EXPOSURE LOCATIONS?

Coronaviruses like COVID-19 spread primarily among close contacts. They are spread through respiratory droplets when people cough or sneeze, or by touching a surface where the virus has been and then touching your mouth, nose or eyes. This is different from an airborne virus like measles, where we would release locations of general exposure.

If a situation arises where we know there was an exposure and we cannot identify the close contacts through disease investigation and contact tracing, public health may issue a notice for people who were at a specific event to quarantine at home and seek testing.

25. IS IT SAFE TO DONATE BLOOD?

Yes. As with any other situation, people who are ill should stay home and should not go to donate blood. However, people who are well may certainly do so. You can’t catch COVID-19 from donating blood. In fact, to prevent blood supplies running low, we encourage you to donate blood.

Learn more about how to donate blood from Bloodworks Northwest at https://www.bloodworksnw.org/.

26. IS IT SAFE TO TRAVEL INTERNATIONALLY?

Prior to any trip, be sure to check CDC travel notices at https://wwwnc.cdc.gov/travel/notices. The list of countries with travel notices, as well as the level of a country’s notice, may change quickly.

If you are ill, avoid travel. If you are planning trips, be prepared to cancel nonessential travel and monitor alerts as the situation changes.

27. ADDITIONAL INFORMATION: Visit www.snohd.org/covid, www.doh.wa.gov/coronavirus or www.cdc.gov/coronavirus/2019-ncov/index.html. Follow us on social media (facebook.com/SnohomishHealth, twitter.com/snohd) A statewide hotline also has been set up at 1-800-525-0127, then press #.

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COVID-19 Vaccine FAQs

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1. How effective is the COVID-19 vaccine?

There are multiple COVID vaccines at various stages of the development, approval and distribution process. These include Pfizer-BioNTech (Comirnaty), Moderna (Spikevax), Johnson & Johnson, and Novavax. Clinical trials for the vaccines show that they are safe an effective. Those who are vaccinated, if they do get COVID, are extremely unlikely to get a severe enough illness to require hospitalization or become fatal.

As with other vaccines, the more people who get immunized, the greater the community-wide protection against the disease.

2. Is the vaccine safe?: While the COVID vaccines are relatively new, the clinical trials and vetting vaccines go through are not. The speed of the vaccine development process may make people wary, but there have been multiple layers of safety and quality assurance. As was the case for other vaccines in the past, oversight and review of the COVID vaccine authorization process by the FDA and CDC was led by panels of independent experts. Washington was also a member of the Western States Pact, which created the Scientific Safety Review Workgroup for another layer of scrutiny and expert review to this process.

3. What are the side effects from the vaccine?

Side effects that have been reported with the COVID-19 vaccine include:

Pain, redness or swelling at the site of injection
Fatigue
Fever
Headache
Muscle or joint pain
Chills
Nausea
Swollen lymph nodes

Side effects may occur the day after vaccination and are normal signs that the vaccine is working. You can take fever or pain relievers like acetaminophen or ibuprofen if needed or apply a cool compress to the injection site. Contact your healthcare provider if you are concerned or if the symptoms don’t go away within two days (48 hours).

4. What adverse reactions were reported for the vaccine?

There is a remote chance that the vaccine could cause a treatable but severe allergic reaction called anaphylaxis. This was not observed during the clinical trials, but has been observed very rarely following the first doses of some COVID vaccines, at extremely low rates that are comparable to those of other vaccines. Anaphylaxis usually occurs within 30 minutes after getting a dose of the vaccine and most persons with anaphylaxis have a prior history of allergies or allergic reactions, including some with previous anaphylaxis events;

difficulty breathing
swelling of your face and throat
a fast heartbeat
itching
hives
dizziness and weakness.

Prior allergy or anaphylaxis is not a reason to avoid vaccination, though. Only allergy to the COVID vaccines themselves or their ingredients are a reason to not get vaccinated. Vaccination sites are prepared to handle this reaction and observe patients for an appropriate period of time before releasing them. If you have a history of anaphylaxis and are concerned about getting the COVID vaccine, discuss this concern with your health care provider.

If you have a severe allergic reaction, and are not still at the vaccine clinic, seek medical attention or call 911 immediately. The CDC has also created V-safe, a platform for people to share information on their side effects and reactions. All vaccine recipients are encouraged to sign up for this system to provide additional information about the vaccine’s side effects as vaccination is implemented. Learn more at www.cdc.gov/vsafe.

5. Will the vaccine give me COVID?: No. The vaccine does not contain SARS-CoV-2 and cannot give you COVID-19.

6. How many doses do I need?: There are multiple COVID vaccines, so be sure to check with your medical provider for specific instructions. The Pfizer (Comirnaty), Moderna (Spikevax), and Novavax vaccines require two doses in the primary series, while the Johnson & Johnson has one initial dose. Booster doses are recommdned, and additional boosters may be recommended in the future, so be sure to check with your healthcare provider if you are not sure whether you are up-to-date on booster doses. You can learn more about when you should get your booster dose(s) on the CDC's webpage.

7. How do I know if a message or email offering vaccination options is legitimate?

Know how to spot vaccine scams. Remember that there are no pre-payments required to “get in line” for vaccination, vaccines are not available for purchase online, and vaccines must be administered by licensed medical professionals. Turn to your doctor, clinic, or other reliable sources if you are uncertain whether a message or email about COVID vaccine is legitimate. If you receive a vaccination-related communication from someone other than your health care provider, health insurance provider, or employer, you have reason to be suspicious.

You can check back at www.snohd.org/covidvaccine for additional tools to find reliable vaccination options in Snohomish County. These will be added as they become available.

8. When will I get vaccinated?: Vaccine is now readily available through a number of providers in Snohomish County. To find more information and provider near you, go to www.snohd.org/covidvaccine.

9. Who should get the vaccine?

COVID vaccines are now available to anyone 6 months of age or older. COVID vaccines are strongly recommended for everyone, unless there is a medical reason they cannot be vaccinated.

Tell your vaccine provider about all of your medical conditions. You should not get the vaccine if you have had a severe allergic reaction after a previous dose of the same vaccine or a severe allergic reaction to any ingredient of this vaccine.

10. If I had COVID, should I still get vaccinated?: Yes, when you are eligible to get the vaccine, it is recommended that you do so. We are still learning about COVID. While reinfection appears to be rare so far, it is possible to get COVID more than once. If you currently have COVID, wait until after your isolation period is done to get vaccinated. Talk with your healthcare provider for additional guidance.

11. Do I get to choose which vaccine I get?

Yes, there are multiple vaccine options to protect against COVID. Right now, the Pfizer, Moderna, Johnson & Johnson, and Novavax vaccines have been approved or authorized for distribution in the U.S. You may see the Pfizer vaccine marketed or referred to as Comirnaty, and the Moderna vaccine as Spikevax. The Advisory Committee on Immunization Practices (ACIP) and the Washington State Department of Health have recommended getting one of the mRNA vaccines (Pfizer or Moderna) over the J&J vaccine. All of the vaccines that have been approved or authorized are shown to be safe and effective in multiple rounds of clinical trials.

There may be a vaccine that is more appropriate for you than another. We encourage you to talk with your healthcare provider to know what is recommended for your circumstances. While you do have the option to watch for availability of the vaccine you want to get, it is best not to wait if another vaccine brand is available sooner, unless you have talked to your doctor and there is a medical reason to avoid a certain brand of vaccine.

12. Once I get the vaccine, can I stop wearing a mask?

Masks still may be required in certain settings, regardless of vaccination status. Please respect the rules of the venue. Masks also are strongly recommended when cases and hospitalization are high in the community. Voluntary masking remains a good option for reducing the spread of illness.

13. How soon can we get back to pre-pandemic activities?: As of June 30, 2021 most pre-pandemic activities have resumed. Please continue to check state guidance if you are uncertain.

14. How does the vaccine work?

The Pfizer and Moderna vaccines are messenger RNA vaccines, also known as mRNA vaccines. These are a new type of vaccine to protect against infectious diseases, but they have been known and researched for decades. To trigger an immune response, many vaccines put a weakened or inactivated germ into our bodies. Not mRNA vaccines. Instead, they teach our cells how to make a protein from the virus—or even just a piece of that protein—that triggers an immune response inside our bodies. That immune response, which produces antibodies, is what protects us from getting infected if the real virus enters our bodies later.

The Novavax vaccine is a protein subunit vaccine. Instead of mRNA, the vaccine includes proteins from the virus (not the full germ). Once vaccinated, our immune system learns to recognize that the protein should not be there and builds the antibodies that will remember how to fight the virus if we are infected in the future.

The Janssen (Johnson & Johnson) vaccine is similar to mRNA vaccines. They all use a piece of the virus’ genetic code for a piece of the virus’ outer shell. After getting vaccinated, the muscle cells make that piece of the virus, then our immune systems react to that and remember it for the future if we get exposed, killing the invading virus and stopping the infection. With the Janssen vaccine, however, that piece of the virus’ genetic code is inserted into an adenovirus (think common cold) that has been modified so that it cannot replicate and cannot make you sick. Our cells open up the adenovirus, make the piece of the virus’ outer shell, and the process continues as described above.

15. Does the vaccine change my DNA or implant a chip?: No. They do not affect or interact with our DNA in any way, and no microchip is present. The genetic code of the coronavirus never enters the nucleus of the cell, which is where our DNA (genetic material) is kept. The cell breaks down and gets rid of the foreign virus’ code soon after it is finished using the instructions.

16. What is in the vaccine?: You may see some rumors about ingredients listed online or in social media. These are generally myths. The ingredients in the Pfizer and Moderna vaccines are pretty typical for a vaccine, as are the ingredients in the Johnson & Johnson vaccine and the Novavax vaccines. They contain the active ingredient of mRNA, adenovirus, or protein subunit along with other ingredients like fat, salts, and sugars that protect the active ingredient, help them work better in the body, and protect the vaccine during storage

17. Where do I find accurate info about the COVID vaccine?

There is a lot of misinformation or disinformation circulating about the COVID-19 vaccines. Reliable sources include your local public health department, the Washington State Department of Health, the Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC). If you have specific questions or concerns, please talk through them with a professional healthcare provider.

Information addressing some of the most common misinformation about the COVID vaccines can also be found at www.snohd.org/vaxupsnoco.

18. Where can I get my COVID-19 Vaccine Record?

You should receive a CDC COVID-19 Vaccine Card at the time you are getting vaccinated.

The Washington State Department of Health is in charge of maintaining vaccine records in the Immunization Registry known as the Washington State Immunization Information System (WAIIS). Residents are able to access their records through the resident portal to print official COVID-19 Vaccine certificates. For any issues, a hotline specialist can be reached at 833-VAX-HELP. You can also email waiisrecords@doh.wa.gov.

If you were vaccinated outside of Washington state, please go here for a list of contacts that can assist you in locating your vaccination information.

19. Do I need a booster?

Boosters can enhance or restore protection that may have decreased over time after your primary series vaccination, or some may be geared toward increasing protection against specific prominent strains of the virus.

Boosters are recommended and you should check to see if you are due for a booster dose. Timing and number of doses may vary based on age, health status and the type of vaccine you received for your primary dose.

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Drinking Water and Well FAQs

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1. I need to have a well drilled on my property, where do I begin?: The first step is to contact a licensed well driller. See our well application process steps for more information.

2. What is the application process?: Please review our well application process steps infographic.

3. How can I test my water samples?: You can find a state-approved lab on the Department of Ecology’s website.

4. Where can I find a licensed well driller?: You can find a licensed well driller using the Department of Ecology licensed driller search site.

5. Where do I look for abandoned wells?: Abandoned wells may be found in old pump houses, storage sheds, old, detached garages, or small building structures. Hand dug wells can often be found in lowland areas near surface water.

6. What do I do if there is an abandoned well on my property?: If you have an abandoned well that is no longer in use, it is a safety concern, and you are required to decommission it. You will need to contact the Department of Ecology and a licensed well driller to do this.

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Food Worker Cards

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1. Can I take the class and test online?: Yes. In addition to classes being available at the Snohomish County Health Department Everett location, the food worker card class and test can both be taken online.

2. Who can help me if I am having problems with the online site?: If you are having problems with the online class and test, you can call our customer service desk at 425-339-5250. You can also contact the Tacoma-Pierce Health Department. They oversee the actual site and will be able to help you with site issues.

3. Do I have to register ahead of time to take the class?: Pre-registration is not required.

4. When are the classes offered at Snohomish County Health Department?

Classes are scheduled:

2 p.m. on the first Tuesday of each month in English
11 a.m. el primer martes de cada mes en Espanol (This class is in Spanish only)

5. Can I schedule a special class for a group or event that needs food worker cards?: Health Department staff can provide group training off-site if desired. For a class to be offered at your location, you must have a minimum of 10 people. We generally schedule classes about a month in advance. Contact our office to request a class: 425-339-5250 or email Food Safety.

6. How much is the food worker card?

The fee for a food worker card is $10. We accept cash, credit or debit (Visa and MasterCard) for instructor-led classes at the Everett location. Only credit and debit (Visa and MasterCard) are accepted for online classes.

Note: The charges for the food worker cards obtained online will be listed under Tacoma-Pierce County Health Department on your bank statement.

7. How long is the food worker class?: The in-person class lasts approximately 60-90 minutes, including the instruction and test. Please arrive early to find parking and get signed in. There is no admittance after the class begins. Allow about 60 minutes for the online food worker class.

8. Is there an age requirement for the class?: There are no age requirements for obtaining a food worker card. The only requirement is taking the class and passing the test.

9. How long is my food worker card valid?: Food worker cards are valid throughout Washington State for 2 years.

10. Do I have to retake the class and test to renew my food worker card?: Yes. To receive a 3-year card, you may renew your old card up to 60 days prior to the expiration date. Expired cards are not eligible to renew for a 3-year card.

11. How do I renew my food worker card?: You can renew your card for 3 years if you re-take the class before your current card expires - bring your old card with you when you take the class in person. If your old card has expired, you will only be able to receive a 2-year card.

12. I took the test online. I received a 2-year card, but I qualify for a 3-year card?: This does happen. If you contact the Snohomish County Health Department at 425-339-5250 or email Food Safety, we can upgrade your card to a 3-year card if we see that you qualify for a 3-year card.

13. How do I get a 5-year food worker card?: You may be eligible for a five-year card if you have completed approved advanced training. You must show proof of the advanced training to receive the 5-year card. You must do this within 2 years of receiving the advanced training.

14. How can I get a replacement card if I lost mine?

You can get a replacement card (with the original test date) at the Snohomish County Health Department Environmental Health office in Everett. You can come into the office or you can call the customer service desk at 425-339-5250 to pay for the card over the phone and have the card mailed to you. If you originally received your card online, you can print a duplicate. The fee for a replacement card is $10. We accept cash, credit and debit (Visa and MasterCard) at the Everett location and credit and debit only online.

15. Can I read the test to a child or student with special needs?: Yes. We are happy to meet the needs of each person who needs a food worker card.

16. I am hearing impaired. What are my options for getting a food worker card?

We provide study booklets
You are allowed to bring an interpreter or friend to help guide you through the test
You can email or call us ahead of time to request an American Sign Language interpreter to come to a class of your choosing
You can take the test and class online

17. Am I required to have a food worker card?: Cashiers, bussers, stockers, and dishwashers are all required to have a food worker card as a safety precaution. Many states are adopting “limited use” permits for these types of workers, but Snohomish County has yet to adopt these permits.

18. What options do I have if I speak a foreign language?

You can bring someone to help translate the information and test
We provide booklets and tests in 9 foreign languages that cover all the information needed to pass the test: Cambodian, Chinese, Korean, Punjabi, Russian, Spanish, Tagalog, Thai, Vietnamese
You can take the class and test in various languages online

19. When are you too sick to work with food?

Even if you have a food worker card, you are not permitted to work with food if you have:

Continual sneezing, coughing, or runny nose
Diagnosed infections that can be spread through food, such as salmonella, shigella, E coli, or hepatitis A
Diarrhea, vomiting, or jaundice
Infected, uncovered wounds

Sick food workers should go home or be given duties that do not involve handling food, such as taking out the trash, cleaning restrooms, or busing tables.

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Healthy Youth Survey

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1. What is the Healthy Youth Survey?: The Washington State Healthy Youth Survey is an optional, anonymous survey given every other year to students in grades 6, 8, 10 and 12. It gathers information on topics such as physical activity and nutrition, alcohol and drug use, physical and sexual abuse, school safety, and depression and suicide. The 2018 survey was the sixteenth such statewide survey.

2. Are all students asked the same questions?

There are three versions of the survey. Two of them are for 8th grade and older. The core questions all are the same, and students in the same classroom may receive different forms. The goal is to make sure the greatest number of questions can be answered in the limited time available (one class period).

The third form of the survey is for 6th graders. It is shorter and less detailed.

Optional questions about sexual orientation, behavior and abuse are formatted so that they may be removed by schools that choose not to administer them without affecting the rest of the survey.

3. Can you trust the results?

The survey is optional and anonymous, so students can answer honestly without fear of getting themselves or someone else in trouble.

Some parents worry that students are not honest with their answers, or that they don’t take the survey seriously. While there may be some dishonest answers, the sample size is large enough to trust that, overall, the data and trends are reliable. In 2016, more than 230,000 students from all across Washington took the survey, including more than 14,600 in Snohomish County.

There also are several questions and metrics in place in the surveys to help identify and remove any that are not truthful.

4. How is the information from the survey used?: The survey results provide insight for school and health officials as well as parents and policymakers. Identifying trends in health issues or risky behaviors can help determine at what age interventions may be most useful, or whether existing interventions are working. The information also can help target limited resources toward the most pressing physical and mental health problems among young people.

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Measles

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1. Are people born before 1957 still considered immune to measles?: Yes, people born before 1957 are considered immune to measles, and providing documentation of a date of birth earlier than 1957 is sufficient proof of immunity for employees who are not medical providers. However, any medical provider - including school nurses - must have two MMR vaccines, regardless of birth date. A date of birth before 1957 will not be enough to avoid exclusion for medical providers if there is a measles exposure at their location.

2. Is one dose of MMR enough for students and staff to continue going to/working at school during the exclusion period after a measles exposure?: No. Based on recent changes in guidelines from the Centers for Disease Control and Prevention and the Washington State Department of Health, students and staff must have both doses of the MMR vaccine.

3. If someone has received only one MMR vaccine, but they have serology/bloodwork showing immunity, do they still need the second dose?: If someone provides paperwork signed by a licensed healthcare provider that says their serology/bloodwork shows immunity, a second immunization is not needed.

4. Would a recent immunization throw off a titer (bloodwork to show immunity)?: The MMR takes up to two weeks to be effective, so if someone received the MMR vaccine and did a titer within two weeks, the titer may not show full immunity.

5. If I work at a site where there was a measles exposure, why can't I just go and get both doses of the MMR and return to work?: The MMR can take up to two weeks to be fully effective. In addition, if there is a reaction to the MMR vaccine, it can be harder to determine if symptoms are from the vaccine or from the measles virus.

6. If a school staff member who is not fully immunized visited or substituted at a school during a measles exposure, are they excluded from all school buildings for the exclusion period?: Yes. Unimmunized or under-immunized staff members or substitutes that visited a school during an exposure window must be excluded from any school until after the exclusion window. However, staff at other school buildings where the under-immunized worker spent time do not need to be excluded unless a case occurs at their school.

7. I was fully vaccinated between 1963 and 1968, but my blood test does not show immunity to measles. Do I need two doses?: One dose is sufficient. However, if there has been an exclusion at your workplace (a school or medical practice), you will be excluded for the duration. Keep documentation of all vaccinations and bloodwork to show immunity in the future.

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Mumps

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1. What is mumps?: Mumps is a highly contagious viral illness. An infected person can spread it through face-to-face contact by coughing, sneezing, or spraying saliva while talking. Mumps can also spread when people share cups and eating utensils. Mumps is a condition that health providers must report to the local health department when a probable or diagnosed case occurs.

2. What are the symptoms?

Mumps causes puffy cheeks and a swollen jaw, the result of swollen salivary glands. Other symptoms are:

Fever
Headache
Loss of appetite
Muscle aches
Tiredness
Up to 10% of teen boys and men can experience swelling of the testicles. Meningitis and encephalitis are rare but serious complications of mumps

3. How can you prevent mumps?

Immunization is the most effective way to prevent mumps. Everyone should make sure they are up to date on their MMR vaccine. Children must have two doses of the MMR vaccine to attend school.

Other ways to protect yourself:

Avoid contact with anyone infected with mumps
Don’t share cups and eating utensils
Wash your hands with soap and water

4. Who is more likely to get mumps?

Adults born in or after 1957 who have not been vaccinated or have not had mumps before
Babies less than one year old
Children older than one who have not received at least one dose of the MMR

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Refugee Health

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1. What do I need to make my first appointment?

Chest X-ray taken during Visa medical examination
I-94 card
Immunization records
Medical coverage information, if available
Overseas Visa medical examination information
Passport

2. What can I expect at my first appointment?

Blood test for communicable diseases and anemia
Health screening interview
TB test
Vital signs, check hearing and vision

3. What can I expect at my second appointment?

Answers to any questions
Referral for a chest X-ray, if needed
Referrals to community health care providers
Review of lab and TB test results

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Resources for Families with Children & Youth with Special Health Care Needs

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1. Clinics

Clinic Name (click for website)	Additional locations	Physical Address	Phone Number	Services Offered
Allegro Pediatrics Bothell		11724 NE 195th St. Suite # 100 Bothell, WA 98011	425-318-3100	Behavioral health, teen health, and wellness check
Planned Parenthood		1509 32nd St. Everett, WA 98201	1-800-769-0045	Help to prevent pregnancy, cancer screenings, tests and treatments (STD, UTI/yeast infection), sex education, access to birth control, and information on healthy life choices
Community Health Center		4201 Rucker Ave. Everett, WA 98203	425-259-3086	Community-based and patient-directed organizations that serve populations with limited access to health care
	Everett-South Clinic	1019 112th St SW Everett, WA 98204	425-551-6200	Primary care
	Everett-North Clinic	1424 Broadway Everett, WA 98201	425-789-2000	Primary care
	Edmonds Clinic	23320 Highway 99 Edmonds, WA 98026	425-640-5500	Primary care
	Lynnwood Clinic	4111 194th St SW Ste 101 Lynnwood, WA 98036	425-835-5200	Primary care
	Arlington Clinic	326 S Stillaguamish Ave Arlington, WA 98223	360-572-5400	Preventative and primary health care services
	Everett-College Clinic	930 N Broadway Everett, WA 98201	425-595-3900	Urgent care, whole family care, orthopedic medicine, and cardiology
Sea Mar Community Health Services		1920 100th St SE Everett, WA 98208	425-312-0202	Provides quality comprehensive health, human, housing, educational, and cultural services to diverse communities specializing in service to Latinos
The Everett Clinic		3802 Colby Ave. Everett, WA 98201	425-257-1450	Primary care
	Silver Lake Pediatrics	1818 121st. SE Everett, WA 98208	425-357-3300	Primary care
	Smokey Point Primary Care	2901 174th St. NE Marysville, WA 98271	360-454-1900 425-259-0966	Primary care
	Harbour Pointe Pediatrics	4430 106th St SW Mukilteo, WA 98275	425-493-6002	Provides quality comprehensive health, human, housing, educational, and cultural services to diverse communities specializing in service to Latinos
Providence Medical Care		916 Pacific Ave. Everett, WA 98201	425-261-2000	Primary care
	Providence Mill Creek Pediatrics	12800 Bothell-Everett Highway Ste 190 Mill Creek, WA 98208	425-316-5160	Primary care
	Providence ExpressCare at Walgreens	2205 Broadway Everett, WA 98201	1-888-227-3312	Community-based and patient-directed organizations that serve populations with limited access to health care
	Providence Lynnwood Clinic	2902 164th St SW Lynnwood, WA 98087	425-741-7750	Community-based and patient-directed organizations that serve populations with limited access to health care
Swedish Birth and Family Clinic		21911 76th Ave W Edmonds, WA 98026	425-640-4950	Broad range of services for obstetric patients, including management of hypertension in pregnancy, gestational diabetes, vaginal birth after Caesarean Section, and newborn care
Swedish Pediatric Specialty- Mill Creek		13020 Meridian Ave S Everett, WA 98208	206-215-2700	Lab services, urgent care, and radiology
Kaiser Permanente		2930 Maple St. Everett, WA 98201	425-261-1500	Primary care
Virginia Mason Edmonds Family Medical Center		7315 212th St SW Edmonds, WA 98026	425-775-9474	Offering pediatric, adult, obstetrical, geriatric, primary care, and urgent care
North Sound Pediatrics		15808 Mill Creek Blvd, Ste 201 Mill Creek, WA 98012	425-338-5668	Wellness, sick visits, and acute illness checks
Pacific Medical Center		1909 214th St SE Ste 300 Bothell, WA 98021	425-412-7200	Bone density scanning (DXA), cardiovascular laboratory, CT scanning, echocardiography, infusion therapy, interpreter services, laboratory, mammography, Magnetic Resonance Imaging (MRI), pharmacy, ultrasound, vascular studies and X-ray
Skagit Regional Health
	Arlington Pediatrics	875 Wesley Street, Suite 130 Arlington, WA 98223	360-435-6525	Primary care
	Urgent Care Smokey Point	3823 - 172nd Street NE Arlington, WA 98223	360-657-8700	Urgent care
	Arlington Family Medicine	7530 204th Street NE Arlington, WA 98223	360-435-8810	Primary care
White Horse Family Medicine		875 Wesley St. Arlington, WA 98223	360-435-2233	Primary care
Lahai Health		19820 Scriber Lake Rd Lynnwood, WA 98036	206-363-0105	Primary care
Mill Creek Family Practice		1025 153rd St SE #200 Mill Creek, WA 98012	425-338-4000	Pediatric orthopedics, specialty care, and general surgery
Richmond Pediatrics		357 NW Richmond Beach Rd Shoreline, WA 98177-3101	206-546-2421	Community-based and patient-directed organizations that serve populations with limited access to health care
Seattle Children's Hospital - Specialty Clinics		4800 Sand Point Way NE Seattle, WA 98105	206-987-2000	Community-based and patient-directed organizations that serve populations with limited access to health care
	North Clinic- Everett	1815 13th St. Everett, WA 98201	425-783-6200	Community-based and patient-directed organizations that serve populations with limited access to health care
	Bellevue Clinic and Surgery Center	1500 116th Ave NE Bellevue, WA 98004	425-407-5961	Primary care and wellness
UW Medicine Primary Care- Mountlake Terrace		24360 Van Ry Blvd., Suite 111 Mountlake Terrace, WA 98043	425-275-5550	Primary care
Vision Plus of Silver Lake		12728 19th Ave SE #102 Everett, WA 98208	425-353-5544	Vision care

2. Parent Support and Education

Parent Support and Education	Physical Address	Phone Number	Services Offered
ARC of Snohomish County	127 East Intercity Ave Suite C. Everett, WA 98208	425-258-2459	Ongoing monthly support groups, parent meetings, and information regarding community services and resources available in the community
Center for Human Services	17018 15th Ave NE Shoreline, WA 98155	206-362-7282	Builds community by focusing on families in North King County and South Snohomish County Provides parent education, support centers, counseling, and substance use treatment and prevention
Cocoon House	3530 Colby Ave Everett, WA 98201	425-387-6262
Developmental Disabilities (DD) Intake	840 N Broadway Everett, WA 98201	425-339-4833	Child development services, community access services, individual supported employment, grant-supported employment, and specialized industries employment
Early Head Start at Everett Community College	14 E Casino Rd Ste B Everett, WA 98208	425-712-9000	Weekly home visits, 2x a month play & learn groups, learning activities based on children's interests Services tailored around your family's needs and goals including activities to strengthen the parent-child relationship, developmental screenings/assessments, nutrition, and mental health education and referrals Materials and support that respect family culture, and parenting classes and leadership opportunities
El Centro de la Raza	2524 16th Avenue S Seattle, Washington 98144	206-957-4634	Provides an array of bilingual and multicultural services: child and youth programs including child care, after school mentoring and tutoring, and workshops dealing with the complex subjects of Latino history and race by utilizing the arts as a medium for social change and community activism
Family Education at Edmonds Community College	20000 68th Ave. W Lynnwood, WA 98036	425-640-1665	Infant, toddler, and preschool classes with parents
National Alliance on Mental Illness	PO Box 12487 Everett, WA 98206	425-347-5365	Local education, resources and support to individuals living with mental illness and their caregivers
Parent Trust	2200 Rainier Avenue South Seattle, WA 98144	206-233-0156	Parent Trust for Washington Children offers unique solutions for the entire family through effective, free, or low-cost classes, workshops and coaching Great Starts class on birth and baby care is offered in Mountlake Terrace Many other resources and services are available at Parent Trust throughout the region
Parenting Coach Through Pioneer Human Services	7440 West Marginal Way S. Seattle, WA 98108	206-768-1990	Evidence-based parenting programs to support parents in learning positive parenting skills Family support services to promote family reconciliation and placement prevention Individual and group mental health counseling services for adolescents in foster care and group home care Assessments of parenting strengths and challenges
Puget Sound Adlerian Society	8249 38th Ave NE Seattle, WA 98115	206-527-2566	Supports families and their communities through parent education
Seattle Children's Parent Resource Line	4800 Sand Point Way NE Seattle, WA 98105	206-987-2201	Give out information about health conditions and support groups (if applicable)
The Incredible Years Parenting Class	1411 8th Avenue West Seattle, WA 98119	206-285-7565	Offers series of interventions and incorporates complimentary training programs for parents, teachers, and children
Verdant Health Commission	4710 196th St. SW Lynnwood, WA 98036	425-582-8600	A wide range of family service programs, including free immunizations and classes for kids
Suicide & Crisis Lifeline		988	Call or text

3. Pregnancy and Postpartum Home Visits

Pregnancy and Postpartum Home Visit	Physical Address	Phone Number	Services Offered
Edmond School District Special Services	20420 68th Ave. W. Lynnwood, WA 98036	425-431-7000 Spanish: 425-431-1304	Provides pregnancy and parenting support to first-time mothers from nurses who visit their homes beginning in early pregnancy through the child's second birthday
La Leche League of Snohomish	Varies	360-805-4135	Weekly home visits, 2x a month play & learn groups, learning activities based on children's interests Services tailored around your family's needs and goals including activities to strengthen the parent-child relationship, developmental screenings/assessments, nutrition, and mental health education and referrals Materials and support that respect family culture, and parenting classes and leadership opportunities
Listening Mothers	1817 Queen Anne Ave N. Suite 303 Seattle, WA 98109	425-450-0332	Education that is specially designed to meet the student's unique needs and ultimately aimed at preparing the student for a post-high school academic setting, employment, and independent living
Nurse Family Partnership- Snohomish	14 East Casino Road Building A Everett, WA 98208	425-245-8377	Common ground of breastfeeding
Providence Women’s & Children’s Health Services	900 Pacific Avenue Everett, WA 98201	425-261-2000	Prenatal classes, family education, lactation support, Mother’s Milk Depot, and Safe Kids classes and support
Step by Step	13407 80th St E Puyallup, WA 98372	253-896-0903	Partial scholarships available - parenting counseling/class and walk & talk therapy

4. Health Insurance

Insurance	Additional Organization	Physical Address	Phone Number	Services Offered
Amerigroup		705 5th Ave S Ste 300 Seattle, WA 98104	1-855-323-4688	Insurance plan for Apple Health
Apple Health		PO Box 45531 Olympia, WA 98504	1-866-926-7687	Insurance plan for Apple Health
Community Health Plan of Washington		1111 3rd Ave Ste 400 Seattle, WA	1-800-440-1561	Insurance plan for Apple Health
Molina		Molina Healthcare 15 SW Everett Mall Way Everett, WA	1-800-869-7175 (TTY 711) 425-348-6727	Insurance plan for Apple Health
Provider One		Cherry Street Plaza 626 8th Avenue SE Olympia, WA 98501	1-800-562-3022	To obtain P1 card
United Health Community Plan		11918 Airport Rd Everett, WA	866-830-0325 425-390-5005	Insurance plan for Apple Health
WA Health Plan Finder		P.O. Box 1757 Olympia, WA 98507	1-855-923-4633	Help to find insurance; premium depends on income Provide WA Health Benefit Exchange
Washington State Healthcare Authority		626 8th Ave SE Olympia, WA 98501	855-623-9357 1-844-461-4436	Insurance agency
	Coordinated Care under Apple Health	1145 Broadway Ste 300 Tacoma, WA 98402	877-644-4613	Insurance plan for Apple Health

5. Birth to Age 3

Birth to 3	Physical Address	Phone Number	Services Offered
ChildStrive	906 SE Everett Mall Way, Suite 200 Everett, WA 98208	425-330-0659	The early intervention program ("eip") addresses the needs of children under age three who have developmental delays and who meet the state-set criteria for early intervention services
Kindering	19801 North Creek Parkway, Suite 200 Bothell, WA	425-747-4004	Developmental evaluations, pediatric therapies & support, early learning & school readiness, and family education & support
Providence Children’s Center	900 Pacific Ave Everett, WA 98201	425-258-7311	Offer services such as speech, occupational and physical therapy as well as care coordination, family education, and early intervention that focus on helping children to develop skills that will allow them to engage with their family, friends, and community
Sherwood - Lake Stevens	402 91st Ave NE Lake Stevens, WA 98258	425-334-4071	They provide services from birth to 3: speech, physical occupation therapy, feeding, education behavioral, and nutrition
Snohomish County Early Intervention Program		425-388-7402	Help get in touch to different agencies
Wonderland- Shoreline	1909 214th Street, Suite 204 Bothell, WA 98021	425-219-4788	Comprehensive developmental evaluations and early intervention support in the child’s natural learning environment Have parenting program aiding early childhood communication development Play and learn groups, therapeutic summer camps for children of all abilities

6. Dental Services

Dental Services	Phone Number	Services Offered
DentistLink Connect with a Washington State Dentist for Dental Care	844-888-5465	Link to different dental clinics that match client's needs and location

7. Counseling Services for Children

Counseling Services for Children	Physical Address	Phone Number	Services Offered
Children Advocacy Program	1509 California St Everett, WA 98201	425-349-3030	Kids who have been physically or sexually abused or witnessed abuse
Cocoon House	3530 Colby Ave Everett, WA 98201	425-387-6262
Compass Health	4526 Federal Ave Everett, WA 98203	425-349-6200	Adult outpatient services, children transition & engagement services, youth & family services, crisis services, Genoa pharmacy, healthcare integration, homeless support & supported housing, inpatient services, medical services, residential services, specialty services, and substance use disorders
Crisis Line	2802 Broadway Everett, WA 9820	1-800-584-3578	Crisis text line: 741-741
Dawson Place	1509 California St Everett, WA 98201	425-789-3000	Services includes evaluation, intervention, treatment, education, investigation, prosecution, and advocacy in partnership with other agencies
Layette Services from Catholic Community Services of WW	100 Avenue S Seattle, WA 98144 1918 Everett Ave. Everett, WA 98201-3607	206-328-5696 425-257-2111	To serve and support poor and vulnerable people through the provision of quality, integrated services and housing
National Suicide Hotline		1-800-273-8255	United States-based suicide prevention network of over 160 crisis centers that provides 24/7 service via a toll-free hotline
New Beginnings Counseling	2905 Hewitt Ave Everett, WA 98201	425-238-9320 206-737-0242	Provides services to those whose lives have been affected by domestic violence, physical, emotional, or sexual abuse
Sea Mar	1920 100th St SE Everett, WA	425-312-0202	Prenatal and postpartum education groups (MSS), breastfeeding groups (MSS and WIC), transportation assistance during your pregnancy, hospital tours in English and Spanish, behavioral health counseling, dental care, WIC, chemical dependency services
Tulalip Tribes Behavioral Health	4033 76th Pl NW Tulalip, WA 98271	360-716-4224	Prenatal and postpartum education groups (MSS), breastfeeding groups (MSS and WIC), transportation assistance during your pregnancy, hospital tours in English and Spanish, behavioral health counseling, dental care, WIC, chemical dependency services
WISE Program	Snohomish County, WA	1-844-822-7609	Adult Intensive Outpatient Program (IOP) Children’s Intensive Outpatient Treatment (WISE), Mobile Crisis Outreach Team (MCOT), Program of Assertive Community Treatment (PACT)

8. Supplies

Supplies	Additional Locations	Physical Address	Phone Number	Services Offered
Byram Healthcare		6301 36th Ave W Everett, WA 98203	1-800-456-3500	Medical supplies/diapers over the age of 3 years-old (on Apple Health - child will qualify)
Cribs for Kids		1509 California St Everett, WA 98201	425-789-3000	Port a crib for children who do not have one
Hand in Hand		9502 19th Ave SE Ste F Everett, WA 98208	425-374-2461	Provide extensive resources and support to children and families in our community
Layette Services from Catholic Community Services of WW		1918 Everett Ave Everett, WA 98201-3607	206-328-5696	Baby supplies - clothing
Next Step		19526 64th Ave W Lynnwood, WA 98036	425-329-4569	They help with unplanned pregnancy, they offer free pregnancy testing, diagnostic ultrasounds, and information on your different options
Norco		3030 Hoyt Ave Everett, WA 98201	1-888-333-0250	Medical supplies
Planned Parenthood		1509 32nd St. Everett, WA 98201	1-800-769-0045	Abortion services ( & referral), birth control, emergency contraception, general healthcare, HIV services, transgender hormone therapy, patient education, pregnancy testing and services, STD testing, treatment & vaccines, and women's services
Pregnancy Aid		3202 Hoyt Ave Everett, WA 98201	425-252-6444	Provides brand new car seats free to any child in need They provide free diapers, formula, maternity clothing and newborn up to 6x in addition to baby furniture and other gently used or new items
	Pregnancy Aid - Arlington	205 E 4th St. Arlington, WA 98223	360-435-3735
	Pregnancy Aid - Everett Silver Lake	Everett (Silver Lake) 1819 100th Pl. SE, Ste. B, Everett, WA 98208	425-316-8929
	Pregnancy Aid - Granite Falls (The Father's House)	402 S. Granite Ave. Granite Falls, WA 98252	360-965-5040
	Pregnancy Aid - Marysville	1410 7th St., Ste. A Marysville, WA 98270	360-657-4102
	Pregnancy Aid - Monroe	15228 Woods Creek Rd. Monroe, WA 98272	360-805-0633
	Pregnancy Aid - Snohomish	1212 10th St., Unit B Snohomish, WA 98290	360-568-1302
Tulalip Health Clinic		7520 Totem Beach Rd. Marysville, WA 98271	360-716-5625	Provides behavioral, community, dental, and medical health care needs
Two Hearts Pregnancy Aid		3202 Hoyt Everett, WA 98201	425-252-6444	Provides brand new car seats free to any child in need They provide free diapers, formula, maternity clothing and newborn up to 6x in addition to baby furniture and other gently used or new items

9. Autism Resources

Autism Resources	Physical Address	Phone Number	Services Offered
Center For Autism and Related Disorders - Lynnwood (CARD)	4100 194th SW Suite 100 Lynnwood, WA 98036	425-426-2761	(Has waitlist)
James L. Troutman MD Everett Clinic - Stanwood	7205 265th Street NW Stanwood, WA 98292	360-629-1500	Pediatrics
Magnolia Autism Center	2621 Bickford Avenue Suite C Snohomish, WA 98290	360-217-8168	ABA therapy for kids with autism
Patterns Behavioral Services	19217 36th Ave West, Ste 210 Lynnwood, WA, 98036	714-988-4177	ABA therapy for kids with autism
Providence Autism Center -Everett Boyden Family Autism Center at Providence	900 Pacific Avenue Everett, WA 98201	425-258-7097 Fax: 425-258-7618	ABA therapy for kids with autism
Seattle Children's Hospital - Autism	4909 25th Ave. NE Seattle, WA 98105	206-987-8081 Fax: 206-987-8080	ABA therapy for kids with autism
University Of Washington-Autism Center	701 NE Columbia Rd. Seattle, WA 98195	206-221-6806	ABA therapy for kids with autism

10. School Districts

School Districts	Physical Address	Phone Number	Services Offered
Arlington School District	315 N. French Ave. Arlington, WA	360-618-6200 Fax: 360-618-6221	Provides special education resource room
Edmonds School District	20420 68th Ave. W. Lynnwood, WA 98036	425-421-7000 Español: 425-431-1304	Provides special education resource room
Everett School District	3900 Broadway Everett, WA 98201	425-385-5777 425-385-5261	Provides special education resource room
Granite Falls School District	205 North Alder Ave Granite Falls, WA 98252	360-691-7717	Provides special education resource room
Kids In Transition Everett School District	19721 Scriber Lake Rd. Suite B- Lynnwood, WA	425-361-2916	Provide resources such as clothing, shelter, and more
Lake Stevens School District	12309 2nd st NE. Lake Stevens, WA.98258	425-335-1500 Fax: 425-335-1549	Provides special education resource room
Marysville School District	4220 80th St NE Marysville, WA 98270	360-965-0000	Provides special education resource room
McKinney-Vento Act School District Liaisons	600 Washington St. SE Olympia, WA 98504-7200	360-725-6505	Children that are homeless or in transition qualify for extra services to school districts Call school districts for liaison's phone number
Mukilteo School District	9401 Sharon Drive Everett, WA 98204	425-356-1274	Provides special education resource room
Northshore School District	3330 Monte Villa Parkway Bothell, WA 98021	425-408-6000	Provides special education resource room
Snohomish School District	1601 Avenue D Snohomish, WA 98290	360-563-7300 Fax: 360-563-7279	Provides special education resource room
Sultan School District	514 4th Street Sultan, WA 98294	360-793-9800 Fax: 360-793-9890	Provides special education resource room

11. Hospitals

Hospitals	Additional Locations	Physical Address	Phone Number	Services Offered
Cascade Valley Hospital		330 South Stillaguamish Ave. Arlington, WA 98223	360-435-2133	Medical clinics, ambulatory surgery center, general hospital, emergency department, family birth center
Evergreen Health Medical Center		1204 NE 128th St. Kirkland, WA 98034	425-899-1000	Primary care, specialty care, emergency care, urgent care
	Evergreen Health Medical Center - Monroe	14701 179th SE Monroe, WA 98272	360-794-7497	Lactation support and breastfeeding classes
Providence Medical Regional Center in Everett		1700 13th St. Everett, WA 98201	425-261-2000	Emergency care
	Providence Medical Regional Center in Everett- Pacific Campus	900 Pacific Avenue Everett, WA 98201	425-261-2000	Neonatal center and family maternity center
Seattle Children's Hospital		4800 Sand Point Way NE, Seattle, WA 98105	206-987-2000	Outpatient specialty services, telemedicine, and other specialty
Swedish Edmonds Hospital		21601 76th Avenue W Edmonds, WA 98026	425-640-4000	Lactation support and breastfeeding classes Offers many classes for expecting and new parents including offering PEPS Groups and Infant Safety & CPR

12. Nursing Home Care Agencies

Nursing Home Care Agencies	Physical Address	Phone Number	Services Offered
Alliance Healthcare Services	4310 Colby Ave Everett, WA 98203	425-483-3303 360-647-2242	Offers the services of a Clinical Social Worker
Alliance Nursing	14615 NE North Woodinville Way No. 108 Woodinville, WA 98072	1-800-473-3303	Medically intensive nursing care to technology-dependent or developmentally disabled children
Avail	4706 W. Nob Hill Blvd. Yakima, WA 98902	888-865-2903	Work closely with the patient, family, and the clinical care team to develop a personalized plan of treatment designed to meet the patient's needs and plan of treatment

Nursing Home Care Agencies

Physical Address

Phone Number

Services Offered

Alliance Healthcare Services

4310 Colby Ave
Everett, WA 98203

425-483-3303
360-647-2242

Offers the services of a Clinical Social Worker

Alliance Nursing

14615 NE North Woodinville Way No. 108 Woodinville, WA 98072

1-800-473-3303

Medically intensive nursing care to technology-dependent or developmentally disabled children

Avail

4706 W. Nob Hill Blvd.

Yakima, WA 98902

888-865-2903

Work closely with the patient, family, and the clinical care team to develop a personalized plan of treatment designed to meet the patient's needs and plan of treatment

13. Medical Appointment Transportation

Medical Appointment Transportation	Physical Address	Phone Number	Services Offered
Everett Transit	3201 Smith Ave Suite 215 Everett, WA 98201		Can take you most anywhere in the city of Everett Sound Transit (ST) currently serves Everett Station with ST Express regional bus routes
HopeLink		855-706-7433 425-869-6000	Offers an Orca Card as an option to get to your medical appointment
Community Transit	7100 Hardeson Rd Everett, WA 98203	425-353-7433	Provides transportation options for Snohomish County, including bus, Swift bus rapid transit, commuter service, vanpool, ridesharing, and DART paratransit service
Dial a Ride Transport	5026 196th St SW Lynnwood, WA 98036	425-347-5912	Reservations and eligibility information for paratransit service for people with disabilities, 14 year-olds can apply to be eligible

14. Client Advocacy

Client Advocacy	Physical Address	Phone Number	Services Offered
ARC of Snohomish County	127 East Intercity Ave Suite C. Everett, WA 98208	425-258-2459	Ongoing monthly support groups, parent meetings and information regarding community services, and resources available in the community
Disability Rights Washington	315 5th Ave S, Ste 850 Seattle, WA 98104	1-800-562-2702 206-324-1521	To advance the dignity, equality, and self-determination of people with disabilities
Familias Unidas	215 W Mukilteo Blvd Everett, WA 98203	425-513-2880	Classes and fun resources for parents and families in many areas, such as: personal finance, ongoing English language learning, advocacy support for parents of school-age children, social and community building activities, and more
Family Center of South Snohomish County	215 W Mukilteo Blvd Everett, WA 98203	206-694-5700	Social services and support in Lynnwood
Northwest Immigrant Rights	615 2nd Ave Ste 400 Seattle, WA 98104	1-800-445-5771	NWIRP provides direct representation to individuals who are applying for political asylum, family visas, lawful status under the Violence Against Women Act, and naturalization or citizenship NWIRP also provides direct representation, defending individuals who are placed in removal proceedings (deportation proceedings)
Office of Education Ombudsman	Robert J. Drewel Building, Administration-East Bldg., Second Floor East, 3000 Rockefeller Ave. Everett, WA 98201	1-866-297-2597	Promotes equity in education by working with families and schools to remove barriers so that every student can fully participate in and benefit from public education in the state of Washington
Social Security Administration - Everett	3809 Broadway Everett, WA 98201	1-800-772-1213 1-866-563-4595	Clients can request a replacement Social Security card or more complex things like applying for Social Security Disability benefits

15. Services for Children Affected by Drugs and Alcohol

Services for Children Affected by Drugs and Alcohol	Physical Address	Phone Number	Services Offered
Center for Human Services	17018 15th Ave NE Shoreline, WA 98155	206-362-7282	Builds community by focusing on families in North King County and South Snohomish County Provides parent education, support centers, counseling and substance abuse treatment and prevention
Hope Rising	1909 214th St SE Bothell, WA 98021	425-219-4788	Therapy and family support and FASD evaluations
Pediatric Interim Care	328 4th Ave S Kent, WA 98032	253-852-5253	24-hour medical monitoring and nursing care to fill the gap between hospital and home for infants recovering from prenatal drug exposures or other medical difficulties
Providence Children Center PIC Center	1801 Lind Ave SW Renton, WA 98057	425-525-3355	Therapy services and specialized programs

16. Housing

Housing	Physical Address	Phone Number	Services Offered
211	302 W Lincoln Ave Yakima, WA 98902	211	Provides the most current and comprehensive database of community resources in its county
Cocoon House	3530 Colby Ave Everett, WA 98201	425-259-5802	Provides services to at-risk and homeless teens such as shelter, counseling, and parenting support
Everett Gospel Mission for Women and Children	5126 S 2nd Ave Everett, WA 98203	425-740-2550	Single homeless women and women with children
Everett Housing Authority	3107 Colby Ave Everett, WA 98201	425-258-9222	Housing programs
Housing Hope	5830 Evergreen Way Everett, WA 98203	425-347-6556	Offers a full range of housing types—emergency shelter, transitional housing and affordable rental apartments, as well as home ownership opportunities for low-income households
Interfaith Family Center	2520 Cedar St Everett, WA 98201	425-200-5121	Provides emergency assistance and sustainable solutions to empower working families Their comprehensive program meets urgent needs for families, and also provides the opportunity to elevate your career, finances, health, and educate your children
Maud's House	615 Cedar Avenue Marysville, WA	425-293-4732	Marysville emergency housing program It also includes GED/High School Diploma achievement, employment readiness, counseling, and nutrition services
Snohomish County Housing Authority	12711 4th Ave West Everett, WA 98204	425-290-8499	Provides rental assistance to Snohomish County residents, offers special housing options for seniors and the disabled, and provides housing vouchers

17. Child Care

Child Care	Physical Address	Phone Number	Services Offered
Child Care Aware		1-800-446-1114	Provides names and addresses of child care centers and child care homes close to person's home/work
Working Connections	Local DSHS	1-844-626-8687	Helps eligible families pay for child care When a family qualifies for child care subsidy benefits and chooses an eligible provider, the state pays a portion of the cost of child care

18. Food

Food	Additional Locations	Physical Address	Phone Number	Services Offered
Alderwood Community Church		3403 Alderwood Mall Blvd Lynnwood, WA 98036	425-774-7766	Deliver food for those who don't have a car
Pregnancy Aid - Everett		3202 Hoyt Ave Everett, WA 98201	425-252-6444	Provides brand new car seats free to any child in need They provide free diapers, formula, maternity clothing and newborn up to 6x in addition to baby furniture and other gently used or new items
	Pregnancy Aid - Arlington	205 E 4th St. Arlington, WA 98223	Fax: 360-435-7197
	Pregnancy Aid - Everett Silver Lake	Everett (Silver Lake), 1819 100th Pl. SE, Ste. B Everett, WA 98208	425-316-8939 Fax: 425-316-8957
	Pregnancy Aid - Granite Falls (The Father's House)	402 S. Granite Ave. Granite Falls, WA 98252	360-965-5040
	Pregnancy Aid - Marysville	1410 7th St., Ste. A. Marysville, WA 98270	Fax: 360-658-7974
	Pregnancy Aid - Monroe	15228 Woods Creek Rd. Monroe, WA 98272	Fax: 360-794-1465
	Pregnancy Aid - Snohomish	1212 10th St., Unit B Snohomish, WA 98290	Fax: 360-563-9172
Women, Infants, and Children (WIC) - Everett		4005 Colby Ave Everett, WA 98201	425-252-5303	Nutrition education, breastfeeding promotion and support, healthy foods, referrals to health and social service programs
	Women, Infants, and Children (WIC) - Lynnwood	4111 Alderwood Mall Blvd Lynnwood, WA 98036	425-258-8400

19. Legal Resources

Legal Resources	Physical Address	Phone Number	Services Offered
CLEAR/Northwest Justice Project	2731 Wetmore Ave Ste 410 Everett, WA 98201	1-888-201-1014	Provides limited legal assistance for eligible clients with certain legal problems and makes referrals to the Northwest Justice Project's local offices and to other providers of civil legal aid for more extended assistance

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Septic - As-Built Records

Show All Answers

1. Who needs septic as-built information?

State law requires that homeowners inspect and maintain their septic system to ensure it is functioning properly. An as-built drawing shows the location of your drain field, which is also useful for:

Property owners doing landscaping or building
Real estate professionals preparing for a purchase or sale
Septic professionals doing maintenance or repair

2. What information is in an as-built record?

Year installed
Property information
Type and location of the septic system installed on the property

3. Where does septic information on the as-built site come from?

In general, the only information included is the as-built drawing, which is the final drawing of what your system looks like after installation. Additional information on the property’s septic system may be on file at the Snohomish County Health Department.

The "Property Site Information" and "Property Owner Information" sections are from the Snohomish County Assessor’s Office and are updated on a routine basis. The "OnlineRME" and "Comments" sections are entered by the Snohomish County Health Department Land Use program. Attached scans are from the district’s files.

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Septic FAQs

Show All Answers

1. What is a septic system?: A septic system, also known as an on-site sewage system (OSS), stores, treats, and disposes of the things you flush and send down drains. There are many different types of systems. Some are simple, using only a tank and a drainfield, and others are more complex, requiring pumps, filters, or specially designed materials. The term on-site sewage system is used in the state and county code, on permit application forms, and by industry professionals to refer to different types of septic systems.

2. Do I have a septic system?

The Snohomish County Health Department offers an online database of septic system records for properties in Snohomish County, which can show you what your existing system looks like and what type it is. To find out if you have a septic system, you can enter your Property Tax Account number or address into the OnlineRME database.

3. How is a septic system sized?: Please refer to our page with septic system sizing information on the guidelines that are used by professionals.

4. How do I maintain my septic system?

State law (Chapter 246-272A-0270) requires that homeowners inspect and maintain their septic systems to ensure it is functioning properly. The longevity of your on-site septic system relies heavily on the way that you care for it. Be sure to:

Complete additional routine maintenance that is required for some system types.
- Take a look at the monitoring frequencies document to see how often your system needs maintenance and monitoring.
- Alternative systems need maintenance annually unless otherwise specified by manufacturer requirements.
Monitor what goes into your system
Protect the system from surface water and drainage, soil compaction, and other activities that might use it to fail, such as flooding
Schedule regular pumping for your septic tank. See our list of certified pumpers.

This video discusses how different systems work and is a helpful resource for understanding maintenance.

5. How often do I need to have my tank inspected and pumped?: It depends on your system. For gravity systems, it should be inspected every 3 years, and for alternative systems, they should be inspected annually, unless otherwise specified by the manufacturer. The septic professional inspecting your system will be able to advise you when it’s time to pump your tank.

6. What things are safe to put down my drain and into my system?: Water, toilet paper, human waste, and soap for washing.

7. Can I put food down my garbage disposal if I have a septic system?: It is not prohibited; however, we do not recommend using a garbage disposal, and if you must use it, we recommend minimizing the amount of food, oil, and grease going into your septic tank. Sink strainers can be a great alternative to using a garbage disposal.

8. How do I know if my septic system needs a repair or if it is failing?

If you are concerned about the status of your system, some signs that may indicate failure are:

Fixtures are draining slowly
The ground above the drain field is soggy and has unusually lush vegetation
Sewage is backing up into the house
Sewage is surfacing on the ground over the drain field or septic tank
There is a strong sewage odor

9. What do I do if my system is failing or in need of a repair?: Please contact a licensed septic professional if you suspect your system is failing or in need of a repair.

10. How do I obtain a septic system permit?: Please refer to our page on permit process steps.

11. How do I renew my septic application permit?: Previously approved applications may be renewed for an additional 2-year period. To renew, the Snohomish County Health Department must receive a complete renewal application from your designer and payment of the renewal fee within 30 days of the initial application’s expiration date. The application will be reviewed to ensure that the current code is met.

12. What should I do if I need a septic system and a well?: You will still need to contact a licensed septic designer. If the Application for an Individual Water Supply Site Inspection is submitted concurrently with the Application for an Onsite Sewage Disposal Permit, the fee is less than if it is submitted on its own

13. How do I report a septic system problem?

The Snohomish County Health Department investigates complaints and problems with septic systems in the county. Issues can be reported online or mailed to:

Environmental Health Division
Land Use Program
3020 Rucker Avenue
Suite 104
Everett, WA 98201-3900

Your complaint will remain anonymous, and you will receive a reply regarding the situation after the initial investigation is completed.

14. How do I clean an indoor sewage spill?: Please refer to the Guidelines for Cleaning Indoor Sewage Spills document.

15. Who needs septic as-built information?

State law requires that homeowners inspect and maintain their septic system to ensure it is functioning properly. An as-built drawing shows the location of your drain field, which is also useful for:

Property owners doing landscaping or building
Real estate professionals preparing for a purchase or sale
Septic professionals doing maintenance or repair

16. What information is in an as-built record?

Year installed
Property information
Type and location of the septic system installed on the property

17. Where does septic information on the as-built site come from?

18. What should I do if my as-built record is difficult to read or incorrect, and how do I go about getting my as-built corrected?: You can contact a licensed septic designer to submit a revised as-built that shows the correct locations of your septic system’s components.

19. Resources

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Categories

▼ COVID-19 FAQs

Find Monoclonal Antibody Treatment

Find Oral Antibody Treatment

▼ COVID-19 Vaccine FAQs

▼ Drinking Water and Well FAQs

▼ Food Worker Cards

▼ Healthy Youth Survey

▼ Measles

▼ Mumps

▼ Refugee Health

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▼ Septic - As-Built Records

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Live Edit

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COVID-19 FAQs

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COVID-19 Vaccine FAQs

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Drinking Water and Well FAQs

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Food Worker Cards

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Healthy Youth Survey

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Measles

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Mumps

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Refugee Health

▼
Resources for Families with Children & Youth with Special Health Care Needs

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Septic - As-Built Records

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Septic FAQs