BWSD Prescription Medication Form - Prescription Medications (Dr. Signature Required)

BWSD OTC Medication Form - Over the Counter Medications

BWSD Epinephrine Medication Form - Epi-Pens (Dr. Signature Required)

BWSD Glucagon Medication Form - Injectable Glucagon (Dr. Signature Required)

BWSD Inhaled Medication Form - Inhalers and Nebs (Dr. Signature Required)

Allergy and Anaphylaxis Action Plan

Asthma Action Plan

Seizure Action Plan

Diabetes Medical Management Plan

Kindergarten-6th grade

• 4 doses of polio

• 4 doses of DTaP/DT/Td

• 3 doses of hepatitis B

• 2 doses of varicella (chickenpox) or history of disease documented by a qualified health care professional

• 2 doses of MMR (measles, mumps, rubella)

7th grade

• All the previously required vaccines, plus: 

• 1 dose of Tdap 

• 1 MenACWY-containing vaccine

12th grade

• All the previously required vaccines,

  plus:

• Booster dose of a MenACYW-containing vaccine. Those students who have not received their first dose by age 16 should only receive one dose.

What should I do?

Make sure your child is up to date on their vaccinations by checking your child’s immunization record. To get your child up to date on their vaccinations, make a vaccine appointment with their doctor or complete the Student Immunization Record form. 

If you have any questions or concerns please visit the DHS website for more information on school vaccine requirements or contact your child’s Health Office. 

Student Immunization Law Age/Grade Requirements

Student Immunization Record Form

Wisconsin School Immunization Booklet 2025-20256

English Enrollment Forms

Spanish Enrollment Forms

Hmong Enrollment Forms