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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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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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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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