Each year, the State of Wisconsin Immunization Program decides which immunizations students (grades Kindergarten-12) need to maintain a healthy learning environment. Students are required to have the following vaccinations:
Age/ Grade Number of Doses Pre K (2-4 Years) 4 DTP/ DTaP/ DT--3 Polio--1 MMR--3 Hep B--1 Var Grades K through 12 4 DTP/ DTaP/ DT/ Td--4 Polio--2 MMR--3 Hep B--1/2 Var*
Age/ Grade
Number of Doses
Pre K (2-4 Years)
4 DTP/ DTaP/ DT--3 Polio--1 MMR--3 Hep B--1 Var
Grades K through 12
4 DTP/ DTaP/ DT/ Td--4 Polio--2 MMR--3 Hep B--1/2 Var*
*Varicella vaccine: one dose vs. two doses: All students in grades K-12 with a history of the chickenpox disease are compliant with the varicella requirement. Students without a disease history who are 12 years of age or less require 1 dose of varicella vaccine. Those students 13 years of age and older and who have never received varicella vaccine or had disease require 2 doses. For example, if a child is 13 year of age and already had one dose of vaccine when he or she was 12 years of age, that child does not need a second dose. Two doses of varicella vaccine are only required for students 13 years of age or older who are receiving the vaccine for the first time. A history of chickenpox is not a waiver.
Annual Wisconsin School Immunization Requirements located at: http://dhfs.wisconsin.gov/immunization/pdf/0607SchoolReqs.pdf
Table of Contents (page/s)
• Memo from the Immunization Program Director (1-2)• School Compliance Time Line (3)• Immunization Law Clarification (4-7)• Forms in English• Legal Notice (8)• Sample Notice of Exclusion Letter (9)• Student Immunization Record (facsimile) (10)• Student Immunization Law Age/Grade Requirements (11)• School Report to Local Health Departments (two copies) (12-15)• School Report to District Attorney (16)• Sample Spring Round Up Letter (17)• Local Public Health Departments List (18-20)• Wisconsin Student Immunization Law Compliance Results (21)• Chapter 252 (Wis Stats) (22-23)• HFS 144 Wis. Admin. Code (24-27)• Forms in Spanish• Legal Notice (28)• Sample Notice of Exclusion Letter (29)• Student Immunization Record (facsimile) (30)• Student Immunization Law Age/Grade Requirements (31)• Request for Immunization Materials (32)• Forms in Hmong • Legal Notice• Sample Notice of Exclusion Letter• Student Immunization Record (facsimile)• Student Immunization Law Age/Grade Requirements
This site is powered by the Northwoods Titan Content Management System