STUDENT IMMUNIZATION LAW
AGE/GRADE REQUIREMENTS

The following are the minimum required immunizations for each age and grade level according to the Wisconsin Student Immunization Law. These requirements can be waived for health, religious, or personal conviction reasons. Additional immunizations may be recommended for your child depending on his or her age. Please contact your doctor or local health department to determine if your 
child needs additional immunizations.

Information from the State of Wisconsin Department of Health Service Table 144.03-A

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Student Immunization Law Age / Grade Requirements - Other Languages

Required Immunizations for the 2021-2022 School Year and the Following School Years

Age/Grade -     Required Immunizations (Number of Doses)

5 months through 15 months - 2 DTP/DTaP/DT, 2 Polio, 2 Hep B, 2 Hib 2 PCV

16 months through 23 months - 3 DTP/DTaP/DT, 2 Polio, 1 MMR, 2 Hep B, 3 Hib, 3 PCV

2 years through 4 years - 4 DTP/DTaP/DT, 3 Polio, 1 MMR, 1 Var, 3 Hep B, 3 Hib, 3 PCV

Kindergarten through grade 6 - 4 DTP/DTaP/DT, 4 Polio, 2 MMR, 2 Var, 3 Hep B

Grade 7 through grade 11 - 4 DTP/DTaP/DT, 1 Tdap, 4 Polio, 2 MMR, 2 Var, 3 Hep B, 1 Mening

Grade 12 - 4 DTP/DTaP/DT, 1 Tdap, 4 Polio, 2 MMR, 2 Var, 3 Hep B, 2 Mening

1. Requirements did not take effect until February 1, 2023, and the rule was therefore not in effect for the 2021-2022 or 2022-2023 
school years. The Tdap requirement for grades 7-11 was implemented for the 2023-2024 school year. The Meningococcal
(serogroup A,C,W,Y) requirement was implemented for the 2024-2025 school year. 
2. Schools are not required to verify Hib and PCV vaccines for Pre-K students. 
3. Children 5 years of age or older who are enrolled in a Pre-K class should be assessed using the immunization requirements for 
Kindergarten through Grade 5, which would normally correspond to the individual’s age.
4. D = diphtheria, T = tetanus, P = pertussis vaccine. DTaP/DTP/DT/Td vaccine for all students Pre-K through 12: Four doses are 
required. However, if a student received the 3rd dose after the 4th birthday, further doses are not required. Note: A dose four days 
or less before the 4th birthday is also acceptable.
5. DTaP/DTP/DT vaccine for children entering Kindergarten: Each student must have received one dose after the 4th birthday (either 
the 3rd, 4th, or 5th dose) to be compliant. Note: a dose four days or less before the 4th birthday is also acceptable. 
6. Tdap is an adolescent tetanus, diphtheria, and acellular pertussis combination vaccine. If a student received a dose of a tetanuscontaining vaccine, such as Td, within five years before entering the grade in which Tdap is required, the student is compliant and 
a dose of Tdap vaccine is not required.
7. Polio vaccine for students entering grades Kindergarten through 12: Four doses are required. However, if a student received the 3rd
dose after the 4th birthday, further doses are not required. Note: a dose four days or less before the 4th birthday is also acceptable.
8. Laboratory evidence of immunity to hepatitis B is also acceptable.
9. MMR is measles, mumps, and rubella vaccine. The first dose of MMR vaccine must have been received on or after the 1st birthday.
Laboratory evidence of immunity to all three diseases (measles and mumps and rubella) is also acceptable. Note: A dose four 
days or less before the 1st birthday is also acceptable.
10. Varicella vaccine is chickenpox vaccine. Students with a reliable history of varicella disease are not required to receive the 
Varicella vaccine. A physician, physician assistant, or advanced practice nurse prescriber must document a reliable history of 
varicella disease by indicating that the student has had varicella and signing the Student Immunization Form (DHS Form 04020L).
Students (excluding new enterers and kindergartners) with a parental report of disease prior to May 2024 are considered 
complaint.
11. One dose of Meningococcal vaccine (serogroup A,C,W,Y) is required for students entering 7th grade, and a booster dose is 
required for students entering 12th grade. Students are assessed for this requirement in 7th grade and 12th grade only. Current 
Wisconsin students in 8th-11th grade will not be assessed for this requirement until they enter 12th grade. A second dose is not 
required for students who received their first dose of MenACWY at age 16 years or older. 

The School District of Marshfield has partnered with the Rural Virtual Academy to provide students (4K-12) in the district a customized virtual learning opportunity.

This customized education is free for families who want to take advantage of virtual learning. The Marshfield RVA provides families and students the resources they need for a strong academic foundation with the flexibility to learn on their own schedule and own pace.

Students enrolled in the Marshfield RVA are able to join and participate in local sports teams or clubs while receiving an education that best suits each student’s needs. Students graduating from the Marshfield RVA will receive a Marshfield RVA diploma. 

If you want more information on the Marshfield RVA, please contact Angela Kaho at the District Office at 715-387-1101 ext 1126.

To enroll, please call 888-801-2666 or visit

 www.RuralVirtual.org.

• Birth Certificate**-If you are enrolling a child in our 4-year old or 5-year old kindergarten programs, please note that you will also need to bring in an original birth or baptismal certificate for age verification prior to starting the school year*. 
• Immunization Information* - See Immunization Tab
  • WIR Permission
• Court Documents*- If Applicable
• Special Needs Data*
• Student Services Documents-IEP, 504, ect
• Request for Student Records- If your child has not ever attended school, please indicate non-applicable for previous school, city, and state. If your child is entering from home school, please list the last school attended or non-applicable.
• 20xx-xx Student Health Information
• Confidential Residence Screener
• 20xx-20xx Family/Friend Permission to Share Information- For school district staff to communicate with extended family, friends, or caregivers about your child, you must give written permission. This includes stepparents, significant others, grandparents, daycare providers, friends who transport, ect. Please complete the form indicating whom you would like us to be able to share student information (attendance, transportation plans, academic progress, health needs, IEPs, ect.) This form must be completed yearly and can be revoked at anytime.

* required