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  • Consent Form For Meningitis

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INFORMED CONSENT TO ADMINISTER -A/C/Y/W-135 FOR STUDENTS UNDER 18 YEARS OF AGE Please note that this form is necessary only if your student is under 18 years of age. I the undersigned authorize the nursing staff at West Liberty University Health Service to administer the meningitis vaccine -A/C/Y/W-135 to my son or daughter in an effort to provide immunization against this disease.

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How to fill out the Consent Form For Meningitis online

This guide will assist you in completing the Consent Form For Meningitis online, ensuring that you provide all necessary information accurately. By following these steps, you will help facilitate the administration of the meningitis vaccine for your child.

Follow the steps to complete the consent form with ease.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the student's name. Make sure to print the last name clearly followed by the first name.
  3. Provide the student's date of birth in the designated field. Ensure that the format follows the guidelines expected (MM/DD/YYYY).
  4. Input the student's social security number (SS#) in the appropriate space, ensuring that it is correct and complete.
  5. The parent or guardian must sign the form in the indicated signature field, confirming their authorization for the vaccine to be administered.
  6. Next, indicate the consent for the administration of the ®-A/C/Y/W-135 vaccine by checking the box provided.
  7. The parent or guardian must complete the second signature line along with the date of the signature.
  8. Carefully review all the information you have entered to ensure that everything is accurate and complete.
  9. Once you have verified the information, you can save changes, download the completed form, print it, or share it as required.

Complete the Consent Form For Meningitis online today to ensure your child's vaccination.

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Meningococcal vaccine (MenACWY) is highly effective at protecting against four strains of the meningococcal bacteria. Three strains are common in the United States and the fourth strain protects travelers to certain countries where the disease is more common.

All 11 to 12 year olds should get a MenACWY vaccine, with a booster dose at 16 years old. Teens and young adults (16 through 23 years old) also may get a MenB vaccine. CDC also recommends meningococcal vaccination for other children and adults who are at increased risk for meningococcal disease.

Required Acknowledgement of Meningitis Information Students must indicate, on the Health History and Meningitis Acknowledgement form, either that they have received the meningitis vaccine within the past 10 years or that they have decided not to obtain the meningitis vaccine.

Common bacteria or viruses that can cause meningitis can spread through coughing, sneezing, kissing, or sharing eating utensils, a toothbrush or a cigarette. These steps can help prevent meningitis: Wash your hands. Careful hand-washing helps prevent the spread of germs.

TO SUBMIT IMMUNIZATION RECORDS. BY FAX: (212) 650-8227. BY EMAIL: shs@ccny.cuny.edu. BY MAIL: SHS – Marshak Science Building, 160 Convent Avenue, New York, NY 10031.

It's been recommended for a decade. Most parents already choose to vaccinate their children. The meningococcal vaccine has been required for school entry since Sept. 1, 2016.

The meningococcal vaccines protect against meningococcal disease, which can lead to bacterial meningitis and other serious infections.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232