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  • Wi Dhs F-04002 2008

Get Wi Dhs F-04002 2008-2025

DEPARTMENT OF HEALTH SERVICES Division of Public Health F-04002 (Rev. 08/08) STATE OF WISCONSIN s. 252.04, Wis. Stats. SCHOOL REPORT TO LOCAL HEALTH DEPARTMENT Wisconsin State Statute 252.04 requires.

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Students should receive the Tdap (tetanus, diphtheria and acellular pertussis) vaccine before the start of 7th grade rather than 6th grade. Students who received one dose of Tdap prior to the start of 6th grade under the previous requirement are compliant and do not need to receive an additional dose of Tdap.

This may have happened for a number of reasons: The person's vaccine record may not have been recorded in WIR by a doctor's office. The person's vaccine record is in WIR, but the searchable information (for example, the social security number, date of birth, or chart number) may be missing or wrong.

Wisconsin Immunization Registry (WIR) is an online database that tracks vaccine records for Wisconsin children and adults. WIR is an important tool that: Helps ensure children and adults receive vaccines on time. Reduces the time and money it takes you to get old vaccine records.

Wisconsin's statewide, population-based IIS, the Wisconsin Immunization Registry (WIR), was established in 2000 by the Wisconsin Divisions of Public Health (WDPH) and Health Care Access and Accountability.

Click on the 'Public Immunization Record Access' hyperlink from the login screen for the Wisconsin Immunization Registry web site. The Public Access Search screen displays. Enter the first name, last name, and date of birth for the person whose record you are searching for. These are required fields.

Click on the 'Public Immunization Record Access' hyperlink from the login screen for the Wisconsin Immunization Registry web site. The Public Access Search screen displays. Enter the first name, last name, and date of birth for the person whose record you are searching for. These are required fields.

Parents who choose to waive an immunization are required to sign a waiver on the Student Immunization Record form, F-04020L, and list the dates (month, day, year) of all of the vaccines the child has already received.

Failure to meet Wisconsin's 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.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232