Wisconsin Immunization Program
Childhood Vaccine Information and Schedules
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.
Department of Health Services Resources
- Governor's
Kids First Initiative (PDF, 16 MB)
- Day Care
Immunization Record (PDF, 83.3 KB)
- Student
Immunization Record (English) (PDF, 46.2 KB)
- Student
Immunization Record (Spanish) (PDF, 52.0 KB)
- Student
Immunization Record (Hmong) (PDF, 52.0 KB)
- School Report
to Local Health Department (PDF, 21.1 KB)
- School Report
to the District Attorney (PDF, 9.5 KB)
- Vaccine
Administration Record (PDF, 14.3 KB)
- Vaccine
Administration Record in Spanish (PDF, 14.5
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)
- Varicella, Tdap, and PCV (Pneumococcal) School Requirements
- School Based Clinic Consent-Tdap/Varicella (English) (PDF, 55 KB)
- School Based Clinic Consent-Tdap/Varicella (Spanish) (PDF, 29 KB)
- School Based Clinic Consent-Tdap/Varicella (Hmong) (PDF, 29 KB)
- School Based Clinic Consent-Tdap only (English) (PDF, 26.5 KB)
- School Based Clinic Consent-Tdap only (Spanish) (PDF, 26.5 KB)
- School Based Clinic Consent-Tdap only (Hmong) (PDF, 26.5 KB)
Centers for Disease Control and Prevention (CDC)
American Medical Association (AMA) Link
PDF: The free Acrobat Reader® software is needed to view and print portable document format (PDF) files. Learn more.
Last Revised: July 14, 2009
|
