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School Report to Local Health Department (F-04002) - Formalu

School Report to Local Health Department (F-04002) - Formalu 2025

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The document outlines the requirements for Wisconsin schools to report student immunization compliance to local health departments for the 2021-2022 school year. It details the necessary vaccinations for students from kindergarten through grade 12, including definitions of compliance categories such as 'meets minimum requirements,' 'in process,' and various waivers. Schools must submit aggregate data on student vaccination status by a specified deadline using a designated form.

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Does Wisconsin have vaccine exemptions?

Waivers: The Wisconsin student immunization requirements can be waived for personal conviction, religious, or medical/health reasons.

What waivers in Wisconsin are available for parents not wanting vaccinations for their children?

In Wisconsin, if a parent refuses to vaccinate their child, they may seek either a religious waiver or a personal conviction waiver. For the purposes of the Immunization Assessment, you will need to collect the number of religious waivers and the number of personal conviction waivers.

What vaccines are required for school in Wisconsin?

School Immunization Requirements Age/GradeNumber of Doses Pre-K (2 yrs through 4 yrs) 4DTP/DTaP/DT; 3Polio; 3HepB; 1MMR; 1 Var Grades K through 6 4DTP/DTap/DTP/DT/TD; 4 Polio; 3 HepB; 2 Var; 2 MMR Grades 7 through 12 4DTP/DTap/DTP/DT/TD; 1 Tdap; 4 Polio; 3 HepB; 2 Var; 2 MMR; 1 MenACWY1 more row

What states do not allow medical exemptions for vaccines?

All states allow exemptions for medical reasons, and almost all states (except California, Mississippi and West Virginia) grant religious or philosophical exemptions for people who have sincerely held beliefs that prohibit immunizations.

What are the three vaccine exemptions?

Exemptions vary among states but can include medical, religious, and philosophical reasons.

Is it illegal to not vaccinate your child in Wisconsin?

Parents Responsibility A note from your childs health care provider is sufficient. Failure to meet Wisconsins immunization requirements is AGAINST THE LAW. If you fail to comply with the law, you may be fined up to $25 per day, and your child may be excluded from child care or school.

What are the waivers for immunization in Wisconsin?

The Wisconsin Immunization Law requires that all students through grade 12 meet a minimum number of required immunizations prior to school attendance. These requirements can be waived only for health, religious or personal conviction reasons.

School Report to Local Health Department (F-04002) - Formalu 2025

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