Wisconsin Immunization Program
Immunization requirements
All external hyperlinks are provided for your
information and for the benefit of the general public. The Department of
Health Services does not testify to, sponsor, or endorse the accuracy of
the information provided on externally linked pages. School requirements
-
Authorization to receive Tetanus, diphtheria, acellular pertussis
(Tdap),
Varicella, Meningococcal Conjugate (MCV4) or Human Papilloma
Virus (HPV) vaccines
(English)
(PDF, 29 KB) (Spanish)
(PDF, 130 KB) (Hmong)
(PDF, 34 KB)
- Letter to School principals (PDF,
44.3 KB)
- School - Age/Grade requirements 2011-12 and 2012-13
(English)
(PDF, 28 KB) (Spanish)
(PDF, 29 KB) (Hmong)
(PDF, 24 KB)
- School based clinic consent - Tdap only
(English)
(PDF, 26 KB) (Spanish)
(PDF, 26 KB) (Hmong)
(PDF, 26 KB)
- School based clinic consent - Tdap/Varicella
(English)
(PDF, 55 KB) (Spanish)
(PDF, 29 KB) (Hmong)
(PDF, 29 KB)
- School fact sheet for parents
(English)
(PDF, 96 KB) (Spanish)
(PDF, 80 KB) (Hmong)
(PDF, 81 KB)
- School
immunization requirements booklet 2012-13
(PDF, 456 KB)
-
School report to Local Health Department (PDF, 21
KB)
- School
report to the District Attorney (PDF, 10 KB)
- Student immunization record
(English)
(PDF, 46 KB) (Spanish)
(PDF, 52 KB) (Hmong)
(PDF, 52 KB)
- Varicella, Tdap, and PCV
(Pneumococcal) School requirements
Daycare requirements
Additional resources
Contacts
About Us | Adult vaccines |
Childhood
vaccines | Immunization requirements | Local immunization coalitions
| Resources
Vaccines for
children | Vaccine preventable diseases | Vaccine
safety | Wisconsin Immunization Registry | Yellow
fever certification
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Last Revised:
March 25, 2013 |
