Get the free Meningococcal Meningitis and Hepatitis B Immunization Health History Form - memphis
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This form is required for new students entering public or private postsecondary institutions in Tennessee to provide information regarding Hepatitis B and Meningococcal Meningitis, vaccination options,
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How to fill out meningococcal meningitis and hepatitis
How to fill out Meningococcal Meningitis and Hepatitis B Immunization Health History Form
01
Obtain the Meningococcal Meningitis and Hepatitis B Immunization Health History Form from your healthcare provider or school.
02
Read the instructions carefully before starting to fill out the form.
03
Provide accurate personal information, including your full name, date of birth, and contact details.
04
Indicate your medical history related to meningococcal and hepatitis B vaccinations, including previous vaccinations and any adverse reactions.
05
Complete sections regarding current health status and any medications you may be taking.
06
Sign and date the form to confirm the information is true and complete.
07
Submit the completed form to the appropriate authority, such as your school or healthcare provider.
Who needs Meningococcal Meningitis and Hepatitis B Immunization Health History Form?
01
Students entering college or university.
02
Individuals planning to live in dormitories or close quarters.
03
People traveling to areas with high rates of meningococcal disease.
04
Healthcare workers or those in contact with certain populations.
05
Anyone requiring vaccination for school admission or certain activities.
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People Also Ask about
Which vaccines are given against meningitis and hepatitis B?
Hib/MenC vaccine The meningitis C vaccine offers protection against a type of bacteria called meningococcal group C bacteria, which can cause meningitis. Babies are offered a combined Hib/MenC vaccine at 1 year of age.
Who was the famous person who had meningitis?
Influential English guitarist Jeff Beck, who rose to fame playing with the Yardbirds and later fronted the Jeff Beck Group, died on January 10 aged 78 after contracting bacterial meningitis. Bacterial meningitis happens when germs get into the tissues (the meninges) surrounding the brain and spinal cord.
Where did meningitis come from?
Meningococcemia is caused by bacteria called Neisseria meningitidis. The bacteria often live in a person's upper respiratory tract without causing signs of illness. They can be spread from person to person through respiratory droplets.
What is the history of meningococcal meningitis?
Meningococcal disease was never described in ancient times despite its distinctive rash in a substantial proportion of patients. In January 1805, Gaspard Vieusseux, a general practitioner, first clinically characterised meningococcal disease in a short epidemic at the Eaux Vives quarter in Geneva, Switzerland.
What is the history of meningococcal disease?
Meningococcal disease was never described in ancient times despite its distinctive rash in a substantial proportion of patients. In January 1805, Gaspard Vieusseux, a general practitioner, first clinically characterised meningococcal disease in a short epidemic at the Eaux Vives quarter in Geneva, Switzerland.
What is meningococcal B vaccine in English?
MenB vaccine. The MenB vaccine helps protect against meningococcal group B bacteria that can cause serious illnesses, including meningitis and sepsis. It's given to children when they're 8 weeks, 16 weeks and 1 year old.
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What is Meningococcal Meningitis and Hepatitis B Immunization Health History Form?
The Meningococcal Meningitis and Hepatitis B Immunization Health History Form is a document used to collect information about an individual's vaccination history and health status regarding these specific diseases.
Who is required to file Meningococcal Meningitis and Hepatitis B Immunization Health History Form?
Generally, students entering college or certain educational institutions, as well as individuals in specific age groups or high-risk categories, are required to file this form to verify their immunization status.
How to fill out Meningococcal Meningitis and Hepatitis B Immunization Health History Form?
To fill out the form, individuals should provide personal information such as name, date of birth, and contact details, along with a detailed account of their vaccination history for Meningococcal and Hepatitis B, including dates of vaccinations and any medical exemptions.
What is the purpose of Meningococcal Meningitis and Hepatitis B Immunization Health History Form?
The purpose of the form is to ensure that individuals are adequately vaccinated against Meningococcal Meningitis and Hepatitis B, which helps prevent outbreaks and protect public health, especially in community settings.
What information must be reported on Meningococcal Meningitis and Hepatitis B Immunization Health History Form?
The form must report personal identification information, vaccination dates for Meningococcal and Hepatitis B, any history of the diseases, and consent for vaccinations if applicable.
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