Get Tdap Consent Form

Filling out the Tdap consent form online is a straightforward process that helps ensure your child receives the required vaccination safely. This guide will walk you through each section of the form, making the experience clear and efficient for you.

Follow the steps to complete the Tdap consent form online

1. Click the ‘Get Form’ button to obtain the Tdap consent form and open it in the online editor.
2. Fill in your child's name, date of birth, and if applicable, the name of the parent or guardian along with their date of birth. This personal information helps identify the individual receiving the vaccine.
3. Enter your child's age, address, grade, and gender to provide the health department with essential identification details.
4. Provide your contact information, including home, cell, and work phone numbers, ensuring the health department can reach you if necessary.
5. Answer the screening questions by checking 'YES' or 'NO.' This information is crucial in determining whether the Tdap vaccine is safe for your child.
6. Review the notice of deemed consent and acknowledge the information provided regarding testing in case of exposure to blood or body fluids.
7. Complete the insurance section by indicating your child's coverage status. If covered, include insurance details to ensure the vaccination can be billed appropriately.
8. Sign the consent section authorizing the vaccination for your child. Your signature confirms that you have understood the risks and benefits of the Tdap vaccine.
9. If desired, check the box to receive a copy of the Virginia Department of Health Privacy Rights before finalizing the form.
10. Save changes to your completed form, and consider downloading or printing a copy for your records or further needs. Additionally, sharing the completed form may be required for school submission.

Start filling out the Tdap consent form online today to ensure your child is vaccinated promptly.