Jo Daviess County Health Department Children Immunization Program

  • The Vaccines for Children (VFC) Program is provided through federal funding for children meeting the following eligibility requirements: a) enrollment in Medicaid or All Kids; b) child without health insurance; c) is an American Indian or Alaskan Native; or d) is under-insured (health insurance does NOT pay for immunizations).
  • Jo Daviess County Health Department Immunization Program charges a $13 administration fee and an additional $7 per vaccine administered for those children who are un-insured or under-insured per the VFC guidelines.
  • The vaccines that are currently available for children through 18 years of age are: Diphtheria, Pertussis and Tetanus (DTaP), Polio, Pneumococcal, Measles, Mumps, Rubella (MMR) and Haemophilus Influenza Type B (Hib), Hepatitis A, Hepatitis B, Human Papilloma Virus (HPV), Tetanus, Diphtheria, Pertussis (Tdap), Chicken Pox (Varicella), Meningitis , Rotavirus and Flu.
  • Clients who are covered by All Kids/Medicaid Insurance will need to present verification of insurance and All Kids/Medicaid will be billed for fees.  Individuals who do not have insurance are encouraged to apply for IL All Kids/Medicaid before scheduling appointments.  All Kids insurance applications are available online at
  • Clients whose insurance does not cover immunization or the child is uninsured can pay by cash or check. Please check insurance plans for coverage prior to scheduling. No client will be refused due to inability to pay.
  • If the parent is unable to accompany the child, all necessary paperwork and permission can be found in the sidebar on the right of this screen.  The completed and signed forms must accompany the child to the appointment. Parents may also stop at the Health Department in advance of the appointment and complete the necessary forms.
  • Eligible persons are asked to please call the Health Department at (815) 777-0263 ext. 531 to schedule an appointment.

Please call the Jo Daviess County Health Department if you have any questions at (815) 777-0263 ext. 531.

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Immunization Forms6 documents

  • Parental Consent for Immunization
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  • Acknowledgment of Receipt of Notice of Privacy Practices (HIPPA form)
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  • Payment Form (English)
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  • Payment Form (Spanish)
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  • Patient Eligibility Screening Record (English)
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  • Patient Eligibility Screening Record (Spanish)
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