Schools and Child Caring Facilities are valuable partners in the fight against vaccine-preventable diseases. The Immunization Unit is committed to providing resources, information, and tools needed to ensure children are immunized appropriately.
Wyoming Immunization Rules (Tri-fold pamphlet) NEW!!!
Wyoming Immunization Requirements and Recommendations For Children Attending a Child Caring Facility or Preschool (Quick Reference Guide for Administrators) UPDATED!
Immunization Record Resources
Templates & Forms
Blank Official Record of Immunization: This form can be provided to parents or guardians and is to be completed by a licensed Physician/Designee or Public Health Authority. Once complete, it can be accepted as proof of immunization.
Conditional Enrollment Form UPDATED!
Verification of Disease Statement UPDATED!
Parent Letter:Notice of Immunizations Needed CORRECTED!
Parent Letter:Notice of Immunizations Needed (SPAN) CORRECTED!
WyIR for Schools
Changes to WyIR Access for School Nurses (2/20/14)
Note: If your district’s registration occurs prior to identifying the specific school a child will attend, it is acceptable to write the school district name on the agreement, rather than the specific school name. However, the form must be included in the student’s record at the school in which they will attend, when identified, and be made available to WDH staff upon request.
In addition to the Agreement provided by WDH. The following forms of documented consent are also permitted and if used, must be made available to WDH upon request:
- Dated note in the student record documenting verbal permission
- Consent captured in a student management system (language must be consistent with the Agreement provided by WDH).