Trempealeau County Health Department
Government Center – Second Floor
Whitehall, Wisconsin
877-538-2311 x220
Appointments only

State supplied vaccine is available for students who:

  • have a health insurance but no vaccine coverage,
  • do not have health insurance
  • medicaid eligible


WI Dept. of Health Services Press Release  CDC recommends HPV Two Dose Schedule (12-20-2016)

Student Immunization Law
Age/Grade Requirements
2014 School Year and Beyond
The following are the minimum required immunizations for each age/grade level. It is not a recommended immunization schedule for infants and preschoolers. For that schedule, contact your doctor or local health department.
2015 Immunizations
  1. DTP/DTaP/DT vaccine for children entering Kindergarten: Your child must have received one dose after the 4th birthday (either the 3rd, 4th, or 5th dose) to be compliant. (Note: a dose 4 days or less before the 4th birthday is also acceptable).
  2. DTP/DTaP/DT/Td vaccine for all students Pre K through 12: Four doses are required. However, if your child received the 3rd dose after the 4th birthday, further doses are not required. (Note: a dose 4 days or less before the 4th birthday is also acceptable).
  3. Tdap means adolescent tetanus, diphtheria and acellular pertussis vaccine. If your child received a dose of a tetanus-containing vaccine, such as Td, within 5 years of entering the grade in which Tdap is required, your child is compliant and a dose of Tdap vaccine is not required.
  4. Polio vaccine for students entering grades Kindergarten through 12: Four doses are required. However, if your child received the 3rd dose after the 4th birthday, further doses are required. (Note: a dose 4 days or less before the 4th birthday is also acceptable).
  5. The first dose of MMR vaccine must have been received on or after the first birthday (Note: a dose 4 days or less before the 1st birthday is also acceptable).
  6. Var means Varicella (chickenpox) vaccine. A history of chickenpox disease is also acceptable.

WI Department of Health Services  Immunization Requirements

Immunizations are a Shared Responsibility

Parents are required to have their children immunized on schedule and keep accurate immunization records. They must fill out the Student Immunization Record form and file it at the school their child attends.

Schools and daycare centers are required to keep immunization records on file and follow the guidelines for reporting non-compliant students, excluding as indicated.

Physicians and public health departments will give the vaccines required by law and answer questions regarding vaccine recommendations.

The DHFS (Department of Health and Family Services) will give guidance to parents, schools, physicians, and public health departments in understanding the law and the importance of vaccinations. DHFS will monitor compliance with the law, continue a system to detect diseases, and implement outbreak control measures.

Purposes of the Law

The Immunization Law, s252.04 Wis. Stats., is intended to protect students and children in daycare centers from vaccine-preventable diseases, measles, mumps, rubella, polio, diphtheria, tetanus, pertussis (whopping cough), and hepatitis B. Often more dangerous than the disease themselves are the damaging complications which can result in blindness, hearing loss or deafness, mental retardation, and even death.

Another purpose of the law is to eliminate these vaccine-preventable diseases through immunization just as smallpox has been eliminated from the world. Since the Wisconsin Immunization Law went into effect for all grades on May 20, 1980, cases of all vaccine-preventable diseases in Wisconsin have dropped significantly. In May, 1990 the law was changed to require two doses of measles, mumps, rubella (MMR) vaccine, and in July 1997, the law was changed to phase in the requirement of three doses of Hepatitis B vaccine. February 2008 the Immunization law was changed to reflect the new Varicella requirement.

Before this law was passed, Wisconsin perennially ranked among the top ten states for the number of vaccine-preventable disease cases reported. Today, even with the law, many children under school age and young adults over school age are not fully immunized.

Requirements of the Law

The Wisconsin Immunization Law requires students through grade 12 to be immunized according to their age/grade level by the 30th day after the beginning of the school year. Immunizations are required against measles, mumps, rubella, polio, diphtheria, tetanus, pertussis, hepatitis B, and varicella.

Students must present written evidence of completed basic and booster immunizations, including the month, day, and year. If students are not fully immunized upon admittance to school, they must have received at least one dose of each vaccine required for their age/grade level by the 30th day of school. Students entering from another school in Wisconsin are expected to be current on transfer as all Wisconsin students are subjected to the same law.

Students must meet immunization deadlines and notify their school regarding any additional vaccines received.

Exemptions may be obtained for medical, religious, or personal conviction reasons. Medical waivers must be signed by a doctor; religious and personal conviction waivers must be signed by a parent, guardian, or adult student.

Penalties for Non-Compliance with the Law

Parents of a student who enters school incompletely immunized or have not signed a waiver will be notified by the school regarding the legal consequences of failing to meet the immunization requirements.

School districts with fewer than 99% of the students in compliance with the state immunization law are required to exclude any student in grades K-5 who does not meet the requirements by the 30th day. Exclusion is optional for other grades.

If the student is not in compliance with the law by the 60th school day, the school is required to notify the district attorney who will petition the court to direct that the student be immunized according to the age/grade level requirement or sign a waiver.

The court may require a parent or adult student to pay a fine of up to $25 per day for every day that the student remains unimmunized or a waiver is not signed.

If an Outbreak Occurs

In the event of a substantial outbreak of a vaccine-preventable disease, the Department of Health and Family Services (DHFS) may direct schools to exclude unimmunized students and those who have waivers on file. Students may remain excluded until the outbreak subsides.