Immunization Information for Childcare, Preschool, and School Aged Children

Immunizations are one of the most effective measures to protect children from harmful diseases and death.

Immunizations required for school/preschool/childcare

Since 1978, Michigan law has required that children be up-to-date with certain immunizations before they can attend childcare, preschool, kindergarten, 7th grade, or enroll in a new district.  It is the parent/legal guardian responsibility to provide an up-to-date immunization record, submit a medical waiver – completed and signed by their child’s physician, or complete a valid non-medical waiver – on or before the first day of care/school.

A child who is not compliant with immunization regulations will not be permitted into childcare/preschool/school.

Please click on the link below to view the required immunizations for your child:

Required Immunizations for Childcare/Preschool

Required Immunizations for School

You can contact your child's physician or the Lenawee County Health Department (LCHD) to determine if your child is up-to-date with their immunizations. You can get your child immunized at:

  • Their doctor's office (most physicians will do an "immunization only" visit if child was seen in the past year);
  • The LCHD; 
  • Some pharmacies (call ahead to make sure they carry the vaccines your child needs).

Medical and Non-Medical Immunization Waivers


Medical Waiver

Children who have a valid medical reason for not being vaccinated can submit a medical waiver.  Medical waivers are completed and signed by the child’s physician.  The medical waiver is then submitted to the LCHD for review.   

If your child has a medical contraindication to a vaccine(s), please have our child’s doctor complete this form.  

A guide to medical contraindications to vaccines can be found here.

Non-Medical Waiver

Parents who choose not to vaccinate their children for religious or philosophical reasons can complete a non-medical waiver.

 To complete a non-medical immunization waiver:

  • Review the Immunization Education presentation.  Please thoroughly review each page and link as the information covered in this presentation will be on the Vaccine Proficiency Assessment, which is required to be completed; 
  • Complete the Assessment.   The link to the Assessment is on the last page of the Immunization Education presentation;
  • After the Assessment is completed and submitted, an email will be sent to the LCHD Immunization Program.  
  • The LCHD will contact you to schedule an appointment to address any questions and digitally sign the waiver.  If you do not receive a phone call within 3 business days, please contact the LCHD at (517) 264-5226.