2023 Routine Vaccination Clinics (VFC)

2023 Routine Vaccination Clinic Registration

These vaccination clinics are meant for uninsured/underinsured children 18 years of age and younger needing any routine vaccination OR those 19 years or older needing ONLY a Tetanus/Diphtheria/Pertussis (Tdap) vaccination regardless of insurance. UPDATE: we are also able to accommodate COVID-19 vaccinations for ages 6 months and up regardless of insurance as vaccine availability allows.
Appointment Location

De Pere Health Department

335 S. Broadway

De Pere, WI 54115

(inside De Pere City Hall, entry next to Police front desk)
Appointment
Available Appointment Dates and Times*

Demographics
Patient Name*

Patient First NamePatient Last Name
Patient Date of Birth *

MonthDayYear
Date
Parent/Guardian Name*

Parent/Guardian First NameParent/Guardian Last Name
Phone Number*
Please enter a valid phone number.
Email (by providing an email, you consent to confirmation and reminder notices)
example@example.com

De Pere Health Dept Free Vaccine Offerings

CHILD (18 years old and under, uninsured/under insured):
- Dtap/Tdap (diphtheria, tetanus, pertussis)
- HPV (human papillomavirus)
- Hepatitis A
- Hepatitis B
- Hib (haemophilus influenzae type B)
- Meningitis/meningococcal groups A,C,W, and Y
- Meningitis/meningococcal group B
- Pneumococcal
- Polio
- Rotavirus
- MMR (measles, mumps, rubella)
- Varicella (Chickenpox)
- Flu/Influenza (limited availability seasonally)
- COVID-19 (as supply allows, regardless of insurance)
ADULT (19 years old and over, regardless of insurance):
- Tdap (tetanus, diphtheria, pertussis)
- COVID-19 (as supply allows)
Appointment Type
Please choose an appointment type (select all that apply)*

Routine childhood vaccinations (0-18 years old)COVID-19 vaccination (6 months old and up)Tdap vaccination (19+ years old)Other
Please check all that apply to the person receiving vaccine:*

Medicaid/Badger Care Enrolled or EligibleNative American or Alaskan NativeNo Health InsuranceInsured, Vaccines Not CoveredInsured, Vaccines Covered
De Pere Health Department does not bill insurance and can only administer state supplied vaccines to specific populations. If your child is insured and vaccines are included in the coverage, please see your Primary Care Physician (PCP) or a local pharmacy for vaccinations. If you need assistance or have additional questions, please call us at (920) 339-4054.
Recommended vaccines will be determined by the nurse based on availability, age, and previous vaccines received as indicated in the Wisconsin Immunization Registry (WIR). Vaccine information sheets (VIS) for each recommended vaccine will be provided at the appointment for the patient/parent to review.

If you/your child has received vaccines outside of Wisconsin that may not be in the Wisconsin Immunization Registry (WIR), please bring or send (deperehealth@deperewi.gov) your/your child's records to De Pere Health Dept prior to your appointment.

Anyone receving a COVID vaccine will be asked to wait 15-30 minutes after your appointment for monitoring based on allergy history
Vaccine Comments
Should be Empty:

2023 Routine Vaccination Clinic Registration

Appointment

Demographics

Appointment Type