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A form for students to acknowledge receipt of the meningitis vaccine or to decline it, ensuring that the Health and Wellness Center has necessary documentation before moving into residence halls.
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How to fill out Meningitis Waiver

01
Obtain the Meningitis Waiver form from your educational institution.
02
Read the instructions carefully to understand the requirements.
03
Fill out your personal information, including your name, date of birth, and contact details.
04
Indicate your choice regarding the meningitis vaccination, whether you are opting in or waiving it.
05
Provide any required signatures, including your own and a parent/guardian if necessary.
06
Review the completed form for accuracy.
07
Submit the filled-out form to the designated office at your institution by the deadline.

Who needs Meningitis Waiver?

01
All incoming college students, typically those who are residential and living on campus.
02
Students enrolled in programs that require contact with others, such as healthcare or certain research programs.
03
Individuals who are under the age of 22 and attending post-secondary institutions in some states.
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At least 34 states and the District of Columbia require some type of vaccination for students who are attending college or university classes. For example: At least 22 states require meningococcal vaccine, with most requiring meningococcal vaccine for students living on campus.
Anyone can get meningococcal disease, but first-year college students who live in dormitories or participate in sororities or fraternities are at increased risk and should get vaccinated.
California removed its personal and religious exemption option in 2015.
Individuals 18 years of age and older may sign a written waiver choosing not to be vaccinated against meningococcal disease after reviewing the information on the risks of meningococcal disease, the availability of the vaccine, and effectiveness of the vaccine.
There are increasing cases of injuries caused by the meningitis vaccine. Although the dangers of the meningitis vaccine differ, the most common vaccine effect is shoulder injury related to vaccine administration (SIRVA). SIRVA is an adverse reaction when a healthcare provider administers the vaccine improperly.
College students living in dorms and military members in barracks are at higher risk,” Messina explains. “Sharing cigarettes or drinks, kissing or other intimate contact also increase risk.” The symptoms of meningitis B can mimic the flu with non-specific complaints such as nausea, muscle pain and fever.
California removed its personal and religious exemption option in 2015.
At least 22 states require meningococcal vaccine, with most requiring meningococcal vaccine for students living on campus. At least 23 states require up-to-date vaccination for measles, with the majority requiring vaccination for measles, mumps and rubella (MMR).
Germs that enter the bloodstream and travel to the brain and spinal cord cause bacterial meningitis. But bacterial meningitis also can happen when bacteria directly enter the meninges. This may be caused by an ear or sinus infection or a skull fracture. Rarely, some surgeries can cause it.
The close contact in college residence halls, combined with certain behaviors (such as alcohol consumption, exposure to cigarette smoke, sharing food or beverages, and other activities involving the exchange of saliva), may put college students at increased risk.

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The Meningitis Waiver is a document that allows students to decline the requirement for meningococcal vaccination, usually for college enrollment, by acknowledging the risks associated with not receiving the vaccine.
Typically, students enrolling in colleges or universities that require meningococcal vaccination must file the Meningitis Waiver if they choose to opt out of getting vaccinated.
To fill out the Meningitis Waiver, students generally need to provide personal information, such as their name, date of birth, and a statement indicating their decision to decline the vaccination, often along with a signature and date.
The purpose of the Meningitis Waiver is to inform institutions of a student's choice regarding meningococcal vaccination and to acknowledge the associated health risks.
The Meningitis Waiver must typically report the student's name, date of birth, vaccination status, a declaration of opting out of the vaccine, and usually a signature to certify the information is accurate.
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