Get the free MENINGITIS VACCINE ORDER FORM - cnu

This form is used by students of Christopher Newport University to order the meningitis vaccine and provides details regarding allergies and payment.

How to fill out meningitis vaccine order form

How to fill out MENINGITIS VACCINE ORDER FORM

1. Start by gathering the patient's personal information including full name, date of birth, and contact details.
2. Provide the patient's medical history, noting any previous vaccinations or allergies.
3. Indicate the dosage and type of meningitis vaccine being requested.
4. Fill in the date of the vaccination required.
5. Include the provider's information, such as name, address, and contact number.
6. Review the form for completeness and accuracy.
7. Sign and date the form to confirm the information provided.

Who needs MENINGITIS VACCINE ORDER FORM?

1. College students living in dormitories.
2. Individuals traveling to areas with high prevalence of meningitis.
3. Military recruits.
4. Certain healthcare workers.
5. Individuals with specific medical conditions that increase their risk.

People Also Ask about

How many shots are needed for bacterial meningitis vaccine?

Adolescents and young adults CDC recommends a shared clinical decision-making process to decide if MenB vaccination is appropriate for individual adolescents or young adults. Administer 2 doses, 6 months apart, to those who want MenB vaccination.

What are the 4 meningitis shots?

MenACWY vaccines (Menveo® and MenQuadfi®) help protect against 4 serogroups of the bacteria that cause meningococcal disease: A, C, W, and Y. This type of vaccine is also known as a serogroup A, C, W, and Y, or quadrivalent, meningococcal vaccine.

What IV injections are given for meningitis?

Primary treatment is with either cefotaxime (50 mg/kg IV every 6 hours, up to 12 g/day) or ceftriaxone (75 mg/kg initially, then 50 mg/kg every 12 hours, up to 4 g/day). If the prevalence of DRSP is greater than 2%, vancomycin (15 mg/kg IV every 8 hours) should be added.

Are MCV4 and MenACWY the same?

A3: One dose of meningococcal conjugate vaccine (MenACWY; sometimes abbreviated as MCV4; brand names Menactra, Menveo, or MenQuadfi) is required for entry into grades 7 through 11. Q4: How many doses of meningococcal vaccine are required for grade 12?

What is a standing order for vaccines?

Standing orders work by enabling assessment and vaccination of the patient without the need for clinician examination or direct order from the attending provider at the time of the interaction.

How many meningitis vaccines do you have?

The MenACWY vaccine is given as an injection, usually in the upper arm. Most people only need 1 dose of the vaccine. But if you need it because of your job, you may need a booster dose every 5 years.

What order is meningitis vaccine?

Schedule and criteria for routine vaccination with MenACWY For preteens age 11 through 12 years Give dose #1 of a 2-dose series. (Dose #2 will be due at age 16 years.) For teens age 13 through 15 years Give catch-up dose #1 of 2-dose series. (Dose #2 will be due at age 16 through 18 years.)

For pdfFiller’s FAQs

What is MENINGITIS VACCINE ORDER FORM?

The Meningitis Vaccine Order Form is a document used to request the administration of the meningitis vaccine, typically required for certain populations such as college students, military recruits, and healthcare workers.

Who is required to file MENINGITIS VACCINE ORDER FORM?

Individuals such as incoming college freshmen, military recruits, and certain healthcare workers are often required to file the Meningitis Vaccine Order Form to comply with vaccination requirements.

How to fill out MENINGITIS VACCINE ORDER FORM?

To fill out the Meningitis Vaccine Order Form, provide personal information such as name and date of birth, details of the vaccination provider, and sign to acknowledge understanding of the vaccine's benefits and risks.

What is the purpose of MENINGITIS VACCINE ORDER FORM?

The purpose of the Meningitis Vaccine Order Form is to document the request for the meningitis vaccine, ensuring that individuals receive the appropriate vaccination and that compliance with public health regulations is maintained.

What information must be reported on MENINGITIS VACCINE ORDER FORM?

The Meningitis Vaccine Order Form must include personal information of the individual, the vaccination provider's details, the type of meningitis vaccine requested, and signatures confirming informed consent.