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 and Family
Services does not testify to, sponsor, or endorse the accuracy of the
information provided on externally linked pages.
Department of Health and Family Services Resources
- Governor's
Kids First Initiative (PDF, 16 MB)
- Day Care
Immunization Record (PDF, 20.1 KB)
- Student
Immunization Record (PDF, 46.2 KB)
- Student
Immunization Record in Spanish (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)
- Student
Immunization Law Age/Grade Requirements for the
2008-2009 school years English / Spanish / Hmong (PDF, 32.0
KB)
- Varicella, Tdap, and PCV (Pneumococcal) School Requirements
- School Based Clinic Consent Forms Tdap and Varicella (PDF, 55.2 KB) - Tdap only (PDF, 26.5 KB)
Centers for Disease Control and Prevention (CDC)
American Medical Association (AMA) Link
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Last Revised: April 22, 2008
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