Dear Parent/Guardian of a school-aged child:

Macomb County Health Department

School Immunization Program

43525 Elizabeth Rd Mount Clemens, MI 48043 586-466-6840

The State of Michigan requires students to be age-appropriately vaccinated to enroll in school programs,

unless a valid exemption applies. Parents must provide the school with the below vaccinations

and/or a valid exemption*.

The following vaccinations are required for students entering KD or a young five program.

✓ 5 doses DTap

✓ 4 doses Polio

✓ 3 doses Hepatitis B, or laboratory evidence of immunity

✓ 2 doses MMR, or laboratory evidence of immunity

✓ 2 doses Varicella, laboratory evidence of immunity, or disease history from a parent/ physician.

In addition to the above vaccinations 7

graders are required to have the following vaccinations:

✓ 1 dose ACWY Meningococcal Conjugate at the age of 11 years old or older

✓ 1 dose of Tdap at the age of 11 years old or older

To obtain these vaccinations contact your physician, or the MCHD Immunization Clinic (call for hours of

operation) at the following locations:

21885 Dunham Rd

Clinton Twp., MI 48036

(586) 469-5372

27690 Van Dyke Ave, Suite B

Warren, MI 48093

(586) 465-8537

25401 Harper Ave

St. Clair Shores, MI 48081

(586) 466-6800

Additional immunization clinics: Ascension School based Health center at the following locations:

Warren Mott High School

3131 E 12 Mile Rd

Warren, 48092

(586) 558-8765

Clintondale High School

35200 Little Mack

Clinton Twp., 48035

(586) 790-4096

Center Line High School

26300 Arsenal

Center Line, 48015

(586) 576-4038

1. *Non-medical Immunization Waiver – The local health department must certify this type of waiver for

religious or other/philosophical objection(s) to vaccine(s). The required certification must be in person,

by appointment and available only at the Mount Clemens Health Center.

This type of waiver is now electronic and added to the students’ MCIR records by the issuing

Local Health Department. Parents are no longer required to submit a paper copy of this type of waiver

to the school.

To obtain the Nonmedical Waiver, parents/legal guardians are required to receive waiver education on

the vaccines waived and must schedule an in-person appointment by calling 586-466-6840.

2. *Medical Contraindication Waiver - This type of waiver is completed by a physician (MD or DO) stating

a medical reason that prevents the student from receiving a specific immunization(s) for a specific time.

To obtain the Medical Contraindication Waiver Form, the parent must get the form completed by the

student’s doctor and submit to their school.

This form and more information can be found in the “Parent/Guardian section on the SIP website at

https://health.macombgov.org/Health-Programs-DC-SchoolImmunization

Any child with a valid exemption to a particular vaccination is considered susceptible to that vaccine-

preventable disease and is subject to exclusion from the school if an outbreak of the disease occurs.