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Get Consent Form For Meningitis

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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