Wisconsin Immunization Program
Resources
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. Records and reports
School and daycare
- School
- Immunization requirements booklet 2012-13
(PDF, 456 KB)
- Day
care - Immunization assessment booklet 2012-13
(PDF, 827 KB)
- Day
care - Immunization record (English) (PDF,
86.3 KB)
- Day
care - Immunization record (Spanish) (PDF,
83.3 KB)
- Student
- Immunization record (English) (PDF, 46.2 KB)
- Student
- Immunization record (Spanish) (PDF, 51.8 KB)
- Student
- Immunization record (Hmong) (PDF, 15.2 KB)
- School
- Report to Local Health Department (PDF, 46.2
KB)
- School
based - Clinic consent (Tdap/Varicella) (PDF,
55.2 KB)
- School
based - Clinic consent (Tdap only) (PDF, 26.5
KB)
- School
Report to the District Attorney (PDF, 9.5
KB)
- Required
Immunizations for School admission - Legal notice (English) (PDF,
60.2 KB)
- Required
Immunizations for School admission - Legal notice (Spanish) (PDF,
66.9 KB)
- Required
Immunizations for School admission - Legal notice (Hmong) (PDF,
37 KB)
Additional resources
Centers for Disease Control and Prevention
(CDC)
Contacts
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Last Revised:
June 05, 2013 |