Get the free Bacterial Meningitis Vaccination Waiver - wtamu

This document serves as a waiver for bacterial meningitis vaccination requirements for students over 30 years of age in compliance with Texas Senate Bill 1107.

How to fill out bacterial meningitis vaccination waiver

How to fill out Bacterial Meningitis Vaccination Waiver

1. Obtain the Bacterial Meningitis Vaccination Waiver form from your educational institution or relevant health department.
2. Read the instructions on the form carefully to understand the requirements and purpose of the waiver.
3. Fill in your personal information, including your name, date of birth, and contact details, in the designated sections.
4. Indicate the reason for requesting the waiver, whether it is due to medical, religious, or personal reasons.
5. If applicable, have your healthcare provider complete any required sections regarding your medical history or exemptions.
6. Review the completed form for accuracy and ensure all required signatures are obtained.
7. Submit the completed waiver form according to your institution's submission guidelines, whether online or in-person.

Who needs Bacterial Meningitis Vaccination Waiver?

1. Students who are enrolled in a college or university and are not vaccinated against bacterial meningitis.
2. Individuals who may have medical reasons preventing them from receiving the vaccination.
3. Students whose religious beliefs prohibit vaccination.
4. Any other person required by their educational institution to submit a waiver for enrollment purposes.

People Also Ask about

What does it mean to waive receipt of meningococcal vaccine?

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.

How can I be exempt from meningitis vaccine?

Exemptions: Students may begin classes without a certificate of immunization against meningococcal disease if: 1) the student has a letter from a physician stating that there is a medical reason why he/she can't receive the vaccine; 2) the student (or the student's parent or legal guardian, if the student is a minor)

Is the meningitis vaccine really necessary?

MenB vaccine is recommended for all children 10 years of age and older with certain high-risk conditions such as asplenia and certain blood diseases. Shared clinical decision-making (i.e., talking with a provider) is recommended when considering MenB vaccination for healthy people 16 to 23 years of age.

Is bacterial meningitis vaccine required for college?

Students entering any college or university must show proof of immunity against tetanus, diphtheria, pertussis, MMR, hepatitis B, and varicella. Students in a dormitory or comparable congregate living arrangements must have vaccination against meningococcal.

Can I opt out of meningitis vaccine?

California removed its personal and religious exemption option in 2015.

How can I be exempt from meningitis vaccine?

Exemptions: Students may begin classes without a certificate of immunization against meningococcal disease if: 1) the student has a letter from a physician stating that there is a medical reason why he/she can't receive the vaccine; 2) the student (or the student's parent or legal guardian, if the student is a minor)

What happens if you don't have meningitis vaccine?

Meningococcal disease is rare but very serious and requires urgent hospital treatment. It can lead to life-changing disabilities such as amputations, hearing loss, brain damage and scars.

Can I opt out of the meningitis vaccine?

California removed its personal and religious exemption option in 2015.

For pdfFiller’s FAQs

What is Bacterial Meningitis Vaccination Waiver?

A Bacterial Meningitis Vaccination Waiver is a legal document that allows individuals to opt out of receiving the bacterial meningitis vaccine due to specific reasons such as medical contraindications or personal beliefs.

Who is required to file Bacterial Meningitis Vaccination Waiver?

Individuals who are required to file a Bacterial Meningitis Vaccination Waiver typically include college students, especially those living in on-campus housing, and some high school students, depending on state regulations.

How to fill out Bacterial Meningitis Vaccination Waiver?

To fill out the Bacterial Meningitis Vaccination Waiver, individuals should obtain the form from their educational institution, provide required personal information, select the reason for the waiver, and sign the document before submitting it to the appropriate authority.

What is the purpose of Bacterial Meningitis Vaccination Waiver?

The purpose of the Bacterial Meningitis Vaccination Waiver is to ensure that individuals who are unable to receive the vaccination for valid reasons can decline the vaccine while still meeting institutional requirements.

What information must be reported on Bacterial Meningitis Vaccination Waiver?

The Bacterial Meningitis Vaccination Waiver must report information such as the individual's name, date of birth, educational institution, specific reason for the waiver, and acknowledgment of risks associated with not receiving the vaccine.