Boy receiving shot from gloved hand Immunizations Office Hours and Locations
HDNW offices are open Monday-Friday 8 am-5 pm. Our Immunization Clinics vary from month to month in each county office. Clinics are located in Charlevoix, Boyne City, Bellaire, Mancelona, Elk Rapids, Gaylord, Petoskey/Harbor Springs, and Pellston. Please call 1-800-432-4121 for an appointment.

Why Immunize?
Immunization is the process whereby a person is made immune or resistant to an infectious disease, typically by the administration of a vaccine. Vaccines stimulate the body's own immune system to protect the person against subsequent infection or disease. Immunization is a proven tool for controlling and eliminating life-threatening infectious diseases and is estimated to avert between 2 and 3 million deaths each year.

The HDNW provides vaccines to protect against the following to all children and adults:
› Polio
› Tetanus, Diphtheria, Whooping Cough (Pertussis)
› Measles, Mumps, Rubella (German Measles)
› Chickenpox (Varicella)
› Pneumonia
› Hepatitis B
› Hepatitis A
› Human Papillomavirus (HPV)
› Haemophilus Influenza Type B (Hib)
› Meningitis
› Influenza
› Rotavirus
› Shingles

Immunizations do not have to be expensive. The HDNW has special programs for immunizations. No child will be denied needed immunizations due to the inability to pay. A fee may be charged or a donation requested for each individual who is immunized. Medicaid and private insurance are also accepted.

VFC Program: The Vaccine for Children Program provides free immunizations to children age 18 and younger. To qualify, a child must meet one of the following conditions:
› Medicaid-eligible or Medicaid-enrolled
› Uninsured or without any health insurance coverage
› Underinsured or has insurance that does not cover immunizations
› American Indian or Alaskan Native

*An administration fee of $10 is requested per immunization.
Private Providers interested in becoming a VFC Provider are encouraged to contact the HDNW for additional information.

MIAVP: The Michigan Adult Vaccine Program offers select immunizations to adults 19 years and older free of charge. Adults must be without health insurance or underinsured and must meet individual immunization requirements. The following immunizations are currently available through the MIAVP:
› Td, Tdap
› Hepatitis A
› Hepatitis B
› Human Papillomavirus Vaccine (HPV)
› Pneumovax
› Prevnar
› Shingrix (Shingles)
*An administration fee of $10 is requested per immunization.

Insurance: HDNW accepts the following insurances:
› Blue Care Network
› Blue Cross/Blue Shield
› McLaren Health Advantage
› Priority Health
› Tri-Care (Standard)
› United Healthcare
*Clients are advised to contact their insurance provider to verify coverage of immunizations prior to making an appointment.

Immunization Waiver and Medical Contraindications for Daycare Centers, Preschool and/or Schools
Michigan state law mandates that each childcare program/center and school to report to the local health department the immunization status of all children in a licensed childcare program/center, all kindergarteners, all 7th graders and all students that is new to their district. If any of the previous mentioned students are not up to date for required immunizations the student shall be excluded until the student has appropriate documentation:

› A complete immunization record or

› A physician-signed State of Michigan Medical Contraindication Form: If your child has a medical reason (that is, a true contraindication or precaution) for not receiving a vaccine, a physician must sign the State of Michigan Medical Contraindication Form (which is available at your doctor's office, and not the county health department). This form must be completed and signed by a physician before it can be submitted to a school or child-care center.

› A current, certified State of Michigan Nonmedical Immunization Waiver Form: A nonmedical waiver is a written statement by parents/guardians describing their religious or philosophical (other) objections to specific vaccine/vaccines, on a form provided by the county health department. Parents/guardians are required to contact their county health department to receive immunization waiver education and a current certified State of Michigan Immunization Waiver Form.

Scroll down to view the CDC's 2016 Recommended Immunization Schedules for Children/Teens and Adults.

MCIR (Michigan Care Improvement Registry)
The Michigan Care Improvement Registry (MCIR) is an immunization information system (IIS) that records and stores immunization information for all residents who receive immunizations anywhere in the state of Michigan. It is accessible to authorized users (physicians, health care providers, hospitals, pharmacies, health departments, day care centers, schools and camps) to retrieve current patient and student immunization information from MCIR and submit data as it becomes available. The HDNW encourages all providers to enter ALL immunizations into MCIR provided for ALL clients.

The MCIR not only maintains immunization histories, it will also provide a list of due and overdue immunizations, immunization status to recommend future dose dates, and can be utilized to generate reminder notices for upcoming and overdue immunizations.

MCIR is an opt out registry. People who wish to exclude immunization records from the MCIR can sign an "opt out" form, available through your local health care provider or the Health Department. The form allows the State to make an immunization record inaccessible to authorized users. If a person decides they again want their immunization information available to providers, an opt out can be rescinded in writing and submitted the the provider or local health department.

If you have further questions regarding MCIR, you may request more information from Health Department of Northwest Michigan, your health care provider, or by calling the Region #5 MCIR Help Desk at 888-217-3904 or by visiting the MCIR website and clicking on "Public."

Here is a list of local health care providers who participate in the MCIR:

Antrim County
Bellaire Family Health Center
Central Lake Family Practice
Elk Rapids Family Practice
Mancelona Family Practice

      Emmet County
Community Health Center of Northern Michigan
Mackinaw City Medical Clinic
Petoskey Pediatrics
Petoskey Child Health Association
Dr. Todd Decker
Little Traverse Bay Bands of Odawa Indians
      Charlevoix County
Pine River Medical
Boyne Area Medical Center
Beaver Island Rural Health Center
East Jordan Family Health Center

      Otsego County
Alpine Family Medicine
Dr. Colleen M. Vallad-Hix
Dr. Steven Kaufman
Dr. Robert Mee
Med-Care Walk-In Clinic

Influenza Sentinel Providers
The Michigan Department of Health and Human Services (MDHHS) participates in the U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet), a collaborative effort between the Centers for Disease Control and Prevention (CDC), state and local health departments, and volunteer sentinel clinicians as part of our influenza surveillance.

Sentinel physicians:
› Report the total number of patient visits to their facilities each week, as well as the number of patient visits for influenza-like illness (ILI) within five age categories (0-4 years, 5-24 years, 25-49 years, 50-64 years, and 65 + years).

› Collect respiratory specimens from a sample of patients with ILI for respiratory virus panel testing at no charge by the MDHHS Laboratory.

Medical providers of any specialty (e.g., family medicine, internal medicine, pediatrics, infectious disease) in nearly any setting (e.g., private practice, public health clinic, urgent care center, emergency room, university student health center) who are likely to see patients with influenza-like illness can be sentinel providers. The only exception is for those providers who primarily care for institutionalized populations (e.g., nursing homes, prisons).

The advantages of being a sentinel physician include:
› Free laboratory testing (respiratory virus culture) for approximately 11 specimens per site per year
› Weekly feedback on submitted data
› Summaries of regional, state, and national influenza data

Perinatal Hepatitis B Program
The Perinatal Hepatitis B Prevention Program was established in 1991 to prevent hepatitis B transmission from pregnant women to their infants and household and sexual contacts. Prevention of perinatal hepatitis B transmission requires the coordinated transfer of information between primary care providers, hospitals, laboratories, and the state and local health departments.

Individuals: If you have tested positive for hepatitis B, it is important to know how to best care for yourself and what steps you can take to protect others from getting the hepatitis B virus (HBV). The Perinatal Hepatitis B Prevention Program (PHBPP) will help guide you through how to care for yourself and how to protect your baby, partner and household members. Contact your provider for additional information.

Immunization Update for Office Staff Education
Immunization Nurse Educators (INE) from both the Michigan Department of Health and Human Services (MDHHS) and local health departments (LHDs) provide free immunization education to provider office staff throughout the state. The educational modules are developed and maintained by a core group of MDHHS nurses. Registered nurses from local health departments who have met the established qualifications and requirements and have completed the MDHHS INE orientation are approved to teach these immunization educational programs within their local jurisdiction. All in-services are conducted free of charge to the provider. Presentations last approximately 1-2 hours and are approved for nursing contact hours and continuing medical education credit.

A variety of educational modules are available. Topics include Pediatric Immunization, Adolescent Immunization, Adult Immunization, Vaccines for Women's Health, Influenza Vaccine and Immunizations for Health Care Personnel. More details are included in the Free Immunization Education Programs handout..

Call 1-800-4432-4121 to schedule an INE and/or for more information.


Related Links

As these individuals reflect on why their parents chose not to vaccinate them against HPV, scenes of them growing up rewind to the time when the vaccination is most effective. Now their infection has grown into cancer. Merck urges parents to talk to their child's doctor today.

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One mother's heartbreaking story about the importance of immunization - specifically the Meningococcal vaccine for teens and young adults.