Michigan School Immunization Requirements and Waivers
This document outlines the immunization requirements for children entering kindergarten, 7th grade, or a new school district in Michigan. It includes information on medical and nonmedical waivers, reporting requirements, and compliance deadlines. Guidance for maintaining and submitting an immunization record is also provided.
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How do I fill this out?
To fill out this document, you will need to gather the child's immunization records and ensure they meet the required vaccines. If applicable, complete the Medical Contraindication Form or obtain a Nonmedical Waiver Form from your local health department. Follow the steps below to ensure compliance with Michigan's immunization requirements.

How to fill out the Michigan School Immunization Requirements and Waivers?
1
Gather the child's immunization records.
2
Complete or update the immunization certificate as required.
3
Obtain a Medical Contraindication Form if the child has medical exemptions.
4
Visit the local health department for a Nonmedical Waiver Form if needed.
5
Submit the completed form to the appropriate school or district.
Who needs the Michigan School Immunization Requirements and Waivers?
1
Parents ensuring their child's immunization is up to date for school entry.
2
School administrators verifying student immunization records for compliance.
3
Healthcare providers issuing Medical Contraindication Forms for exempt children.
4
Local health departments providing Nonmedical Waiver Forms and education.
5
School principals ensuring submission of immunization reports to the state health department.
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What are the instructions for submitting this form?
Submit the completed form to your child's school or local health department. For assistance, contact your district's health office or visit the Michigan Department of Health and Human Services website. Submission options include in-person, mail, fax, or online at designated portals. Ensure all required fields are complete and accurate before submission.
What are the important dates for this form in 2024 and 2025?
The key dates for this form submission are November 1, 2024, and February 1, 2025, to meet state immunization compliance deadlines.

What is the purpose of this form?
The purpose of this form is to ensure that all children attending school in Michigan meet the state's immunization requirements. It includes sections for recording a child's immunization history, obtaining medical exemptions, and securing nonmedical waivers through local health departments. Accurate completion and timely submission of this form help protect public health and maintain school attendance records without disruption.

Tell me about this form and its components and fields line-by-line.

- 1. Immunization History: A section to record the child's immunization status and history.
- 2. Medical Contraindication Form: A form to be completed by a healthcare provider for children with medical exemptions.
- 3. Nonmedical Waiver Form: A form obtained from the local health department for religious or philosophical exemptions.
What happens if I fail to submit this form?
Failure to submit this form can result in the child's exclusion from school and potential withholding of state school aid funds from the district.
- School Exclusion: Children not meeting immunization requirements cannot be admitted to school.
- State Aid Withholding: Non-compliant school districts may have a portion of state school aid funds withheld.
How do I know when to use this form?

- 1. Kindergarten Enrollment: Submit this form when registering a child for kindergarten.
- 2. 7th Grade Entry: Submit this form for children entering 7th grade.
- 3. New School District: Submit this form when a child enrolls in a new school district.
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No, you must visit your local health department for the Nonmedical Waiver Form and education.
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