Office Hours and Locations

DHD4 offices are open Monday-Friday. Our clinics vary from month-to- month in each county office. Please call for an appointment. Walk-ins are an option when a nurse is available. Additionally, special clinics outside of clinic hours are available under special circumstances.

Please contact us for further information.

Alpena County

100 Woods Circle, Suite 200

Alpena, MI 49707


Cheboygan County

825 S Huron St. Suite 1

Cheboygan, MI 49721


Montmorency County

12480 State Street

Atlanta, MI 49709


Presque Isle County

106 E. Huron, Suite A

Rogers City, MI 49779


Recommended Immunization Schedules

Children and Adolescents Ages 18 Years or Younger

Adults ages 19 and older


Michigan Immunization Portal

If you 18 years of age or older and have been immunized in the State of Michigan, you may be able to download your Immunization Record from the Michigan Care Improvement Registry (MCIR).  Click here to go to the website.

Why Immunize?

Communicable diseases are becoming rare due to vaccinations. Unless we can completely eliminate the disease, it is important to keep immunizing. Vaccinations protect against the risk of disease infection by causing the immune system to develop antibodies that may help fight the actual disease in the future.

Several vaccinations are available at DHD4, including, but not limited to, Hepatitis A & B, DTaP, Hib, Influenza, HPV, MMR, Tdap, Varicella, and Pneumoccoccal.

DHD4 works with the Centers for Disease Control and Prevention in reducing vaccine-preventable diseases by providing free or affordable immunizations to all people from birth through adulthood.



Immunizations do not have to be expensive. DHD4 has special programs for vaccinations. Please refer to the programs below to see qualification criteria

VFC Program

The Vaccines for Children Program provides free immunizations to children age 18 and younger. A child must meet one of the following conditions to qualify for the Vaccine for Children Program:

  • Medicaid-eligible or Medicaid-enrolled
  • Uninsured or without any health insurance coverage
  • Underinsured or has insurance that does not cover vaccinations
  • American Indian or Alaskan Native

*There is an administration fee of $20 for each shot. If a client is unable to pay, DHD4 will not deny the vaccine.


The Michigan Adult Vaccine Program offers select vaccinations to adults 19 years and older free of charge*. Adults must be without health insurance or underinsured. MMR, HPV9, Td, Tdap, Hepatitis A & B, Pneumonia, and Shingles are among the covered immunizations.


Many health insurance plans cover routine immunizations. DHD4 bills most insurances.

Michigan Care Improvement Registry (MCIR)

The Michigan Care Improvement Registry benefits health care organizations, schools, licensed childcare programs, and Michigan’s citizens by consolidating immunization information from multiple providers. This reduces vaccine-preventable diseases, over-vaccination, and allows providers to see up-to-date patient immunization history.  Anyone who has received a vaccination after 1998 is registered on MCIR unless an opt-out form was submitted.

Flu Vaccine

Seasonal flu vaccine is available at  DHD4 September through June. It is recommended that everyone 6 months and older receive a flu shots. The cost is $30, however most insurance plans cover annual flu shot. Please see the insurance information above for the billing procedures. Walk-in patients may receive the flu shot if a nurse is available, however appointments are preferred.