Get the free Meningococcal Vaccination Waiver Form

This form is used by students of Missouri University of Science and Technology to waive the meningococcal vaccination requirement after being informed of the associated risks and vaccine availability.

How to fill out meningococcal vaccination waiver form

How to fill out Meningococcal Vaccination Waiver Form

1. Obtain the Meningococcal Vaccination Waiver Form from your school or healthcare provider.
2. Carefully read the instructions provided on the form.
3. Fill out your personal information, including your name, address, and date of birth.
4. Indicate whether you have received the Meningococcal vaccine or wish to waive it.
5. If waiving, provide a valid reason for your decision, such as medical or religious reasons.
6. Obtain the necessary signatures from a parent or guardian if you are a minor.
7. Review the completed form for accuracy and completeness.
8. Submit the form to the appropriate administration office or healthcare provider by the deadline.

Who needs Meningococcal Vaccination Waiver Form?

1. Students enrolling in colleges or universities that require the Meningococcal vaccine.
2. Individuals with specific health concerns or exemptions that prevent vaccination.
3. Students who are opting out of the vaccine for personal, medical, or religious reasons.

People Also Ask about

Is meningococcal vaccine necessary?

CDC recommends meningococcal vaccination for all preteens and teens, as well as other children and adults at increased risk. Meningococcal vaccines are the best way to protect against meningococcal disease, but side effects can occur. Talk to a vaccine provider if you have questions about meningococcal vaccines.

Can I get meningococcal if I'm vaccinated?

Because routine childhood vaccines do not protect against all strains of meningococcal disease, all people must still be alert for the symptoms and signs of meningococcal disease, even if they have been vaccinated.

Is meningococcal vaccine mandatory?

The vaccine is advised for particular groups of individuals, such as infants, adolescents, and individuals with specific medical conditions. However, it is also an essential requirement for travelers going to areas where meningococcal disease is common or outbreaks have occurred.

Can you opt out of the meningitis vaccine?

In order to submit a medical exemption, you will need to obtain a form from your medical provider and bring it into any campus Admissions & Enrollment Office. To be accepted: The affidavit must be signed and dated by a physician who is registered and licensed to practice medicine in the United States.

What happens if I don't get the meningococcal vaccine?

Meningococcal disease is a very serious infection that can cause severe scarring, loss of limbs, brain damage and death.

Does everyone get a meningococcal vaccine?

It is recommended for all kids and teens age 11 and older. Some types of MenACWY are given to younger children (as early as 8 weeks of age) if they have a higher risk of getting meningococcal disease.

What happens if you don't get the meningococcal vaccine?

The meningococcal vaccine protects against meningococcal disease, a serious bacterial infection caused by Neisseria meningitidis. This infection can lead to meningitis, an inflammation of the tissues covering the brain and spinal cord. It can also cause bloodstream infections.

When is too late for meningococcal vaccine?

Meningococcal vaccine schedule 11 to 12 years old, with a booster dose at 16 years old. 13 to 18 years old, if teens missed getting the shot at a younger age. Adolescents between 13 and 15 should get an additional booster dose between ages 16 to 18. Teens who get their first shot after 16 don't need a booster.

For pdfFiller’s FAQs

What is Meningococcal Vaccination Waiver Form?

The Meningococcal Vaccination Waiver Form is a document that allows individuals to formally request an exemption from receiving the meningococcal vaccination, typically required for college students or individuals in certain educational environments.

Who is required to file Meningococcal Vaccination Waiver Form?

Individuals who are eligible for an exemption from the meningococcal vaccination, such as certain students attending colleges or universities and those who have specific medical or personal reasons for declining the vaccine, are required to file this form.

How to fill out Meningococcal Vaccination Waiver Form?

To fill out the Meningococcal Vaccination Waiver Form, individuals need to provide their personal information, state the reason for the waiver, and sign the form, often with a date. Specific instructions may vary by institution.

What is the purpose of Meningococcal Vaccination Waiver Form?

The purpose of the Meningococcal Vaccination Waiver Form is to document an individual's request for an exemption from the vaccination requirement, ensuring that schools and health authorities maintain accurate records of vaccination statuses.

What information must be reported on Meningococcal Vaccination Waiver Form?

The Meningococcal Vaccination Waiver Form typically requires information such as the individual's name, contact details, date of birth, reason for the waiver, and a signature to confirm the request.