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Health Department
Health and Community Services
43525 Elizabeth Road, Mount Clemens, MI 48043
(586) 469-5235

School Immunization Program

The primary goal of the Macomb County Health Department (MCHD) School Immunization Program (SIP) is to lower the risk of vaccine-preventable disease (VPD) in the organized learning environments of the early childhood and school-age populations of Macomb County. The leading way to achieve this goal is through children receiving the required childhood and adolescent vaccines.

The SIP provides education, support, and consultation to local families, programs, and schools to achieve and maintain childhood and adolescent immunization rates at 95% or higher.

The SIP works in collaboration with the Michigan Department of Health and Human Services (MDHHS) and the Michigan Childhood Improvement Registry (MCIR) in meeting or exceeding immunization requirements.

In Michigan, all children who enroll in and attend the following programs and schools are required by law to be vaccinated in accordance with the Michigan Public Health Code Act 368 of 1978  Part 92  Immunizations. The entities include:

  • Licensed childcare centers
  • Head Start programs
  • Preschool programs
  • Public, private, charter academies, special education, alternative education, adult education, homeschool partnerships, and virtual schools enrolling kindergarten through 12th-grade students.

Also required by the Public Health Code, all early childhood programs licensed by the MDHHS and school-age programs registered by the Michigan Department of Education (MDE), are required to report the immunization status of specific student populations. These populations include:

  • Newly enrolled in a childcare center, Head Start, or preschool program
  • All kindergarten, including developmental kindergarten students
  • All 7th-grade students
  • All students who enroll as new-to-district entrants in grades 1-6 and 8-12 through 18 years of age

For programs and schools to complete their reporting, parents, legal guardians, foreign exchange students’ host families or 18-year-old students must present a written immunization record indicating the current vaccine status of the child to the program or school. A minimum of one dose of each required vaccine is needed for school or program entry. All required vaccines are needed for continued school or program attendance.



Failure to meet vaccine or waiver requirements, as set by the Public Health Code, requires the school principal, administrator, or program director to EXCLUDE a child from the school or program attendance.

Call the School Immunization Program at (586)466-6840, for an appointment for nonmedical waiver education services, Mon-Fri, 8:30 -5:00, except holidays.

The nonmedical paper waiver form has been replaced with an electronic form that is added by the Local Health Department to the child’s Michigan Care Improvement Registry (MCIR) record.

 After the parent attends the in person waiver education session for the vaccines waived, the parent will sign the form electronically by typing their name in the signature field.

The parent no longer needs to deliver the waiver to their child’s school or child care.

  • Waiver session is by appointment only and provided at the Macomb County Health Department located in Mount Clemens (43525 Elizabeth Road, Mount Clemens, MI 48043).
  • For families that reside in or attend Macomb County schools or programs.
  • Documents to review prior to the Waiver Education Session:

Vaccine Information Statements:


Medical Contraindication Form: For children who cannot receive vaccines for a valid medical contraindication, a Medical Contraindication Form completed by the child's M.D. or D.O. must be given directly to the school or program office for submission to the Health Department. The Macomb County Health Department Medical Director reviews all medical waivers.


Kindergarten Entry Booklet

In 2014, the Kindergarten Entry Requirements Booklet was developed in collaboration with the Macomb Intermediate School District, Great Start Macomb, Great Start Collaborative, Head Start, and the Macomb County Health Department. It includes requirements, information, and resources for families preparing to enroll children in kindergarten and developmental kindergarten programs.

Michigan's Kindergarten Entry Requirements booklet is administered by and available on the Macomb Intermediate School District website.


Other Resources for Parents:

School Requirements and Resources for Parents

Child Care/Preschool Requirements and Resources for Parents

State of Michigan FAQ on Immunization Waivers

Macomb County Health Department Immunization Clinic Hours


Schools and Child Care Centers

Macomb County has approximately 555 child care and school sites, and collectively, the MCHD School Immunization Program (SIP) and school staff must review the immunization records of approximately 45,000 children each year. The MCIR system is used by the school staff to complete and send their site’s immunization report to the SIP.

School districts/charter academies/private schools must have a completed, waived, or provisional immunization record (compliance) for at least 90% of their students for the MCIR November IP-100 report, and 95% compliance for the February IP-100 report.

Early childhood programs must have an immunization compliance record for at least 90% of their students for the MCIR October IP-101 report.

SIP-Info Corner: 

Child Care Centers & Schools 


    For Additional Information and Resources:

        Go to > School & Child Care

        MCIR Forms 

        Reporting Immunization Program Status



        Macomb County Schools and Child Care Compliance Rates for Immunization Status Reporting

        Click on the following links to view countywide immunization compliance rate totals for school districts and child care centers.

        Child Care Compliance Rates

        School Compliance Rates

        County Quarterly Immunization Report Card

        Immunization Report Card 



        Vaccines in the News

        Study Linking Vaccine to Autism Declared a Fraud

        Please visit the National Association of County and City Health Officials' website for more information on the media coverage of this important development.



        Michigan Department of Health and Human Services Immunization Waiver Information