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This document is a consent form for the administration of the seasonal influenza vaccine to students in New Hampshire schools, including health information collection and parental consent.
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How to fill out new hampshire seasonal influenza
How to fill out NEW HAMPSHIRE SEASONAL INFLUENZA SCHOOL VACCINATION CONSENT FORM
01
Obtain a copy of the New Hampshire Seasonal Influenza School Vaccination Consent Form.
02
Begin by filling out the student's personal information, including name, date of birth, and school information.
03
Provide the guardian's or parent's contact details, ensuring the phone number is current.
04
Read the consent section carefully and make sure you understand the information regarding the vaccination.
05
Sign the consent section to authorize the vaccination for your child.
06
Date the form to indicate when you completed it.
07
Submit the completed form to the appropriate school health official or designated drop-off location.
Who needs NEW HAMPSHIRE SEASONAL INFLUENZA SCHOOL VACCINATION CONSENT FORM?
01
Any student attending participating schools in New Hampshire who is eligible for the seasonal influenza vaccination.
02
Parents or guardians of students who wish to consent to the influenza vaccination must complete this form.
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People Also Ask about
How to qualify for the flu vaccine?
Who will be offered the flu vaccine aged 65 and over. aged 18 to 64 with an eligible health condition. pregnant. living in a long-stay residential care home or other long-stay care facility. living with someone who has a weakened immune system. an unpaid or young carer. a frontline health or social care worker.
Does Maine require vaccinations for school?
Based on Maine law, students are required to be immunized against certain diseases and submit official immunization records prior to attending classes, or participation in University activities.
What is a vaccine consent form?
This form serves as a record of your consent to receive vaccinations during your stay, based on the latest national guidelines and your eligibility. • I, the undersigned, have received information about the risks and. benefits of the vaccines listed below. • I have had the opportunity to ask questions and have received.
What vaccines are considered necessary?
Make an appointment for your child to get caught up if they haven't received vaccines to protect against any of the following diseases: Chickenpox. Hepatitis A. Hepatitis B. Measles, mumps, and rubella. Polio. Tetanus, diphtheria, and whooping cough (pertussis)
Do NH schools require vaccines?
New Hampshire law requires that all children enrolled in any school, preschool, or child care center have certain immunizations to protect them and those around them from preventable diseases. Certain exemptions are allowed for families.
Who approves the flu vaccine?
In March 2025, the FDA approved Flublok, the recombinant influenza vaccine, previously approved for ages ≥18 years, for ages ≥9 years.
What vaccines are required for school in New Hampshire?
Vaccines required by NH state law Diphtheria. Mumps. Pertussis. Poliomyelitis. Rubella. Rubeola. Tetanus. Varicella.
Does New Hampshire have religious exemption for vaccines?
New Hampshire allows Medical and Religious exemptions for children per RSA 141-C:20-c.
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What is NEW HAMPSHIRE SEASONAL INFLUENZA SCHOOL VACCINATION CONSENT FORM?
The New Hampshire Seasonal Influenza School Vaccination Consent Form is a document that allows parents or guardians to provide consent for their children to receive the seasonal influenza vaccine at school. This form is necessary for schools to administer the vaccine to students.
Who is required to file NEW HAMPSHIRE SEASONAL INFLUENZA SCHOOL VACCINATION CONSENT FORM?
Parents or guardians of students who wish for their children to receive the seasonal influenza vaccine in school settings are required to file the New Hampshire Seasonal Influenza School Vaccination Consent Form.
How to fill out NEW HAMPSHIRE SEASONAL INFLUENZA SCHOOL VACCINATION CONSENT FORM?
To fill out the New Hampshire Seasonal Influenza School Vaccination Consent Form, parents or guardians should complete all required fields, which typically include student information, parent's contact information, and a signature authorizing the vaccination.
What is the purpose of NEW HAMPSHIRE SEASONAL INFLUENZA SCHOOL VACCINATION CONSENT FORM?
The purpose of the New Hampshire Seasonal Influenza School Vaccination Consent Form is to provide formal authorization from parents or guardians for their children to receive the influenza vaccine in school, helping promote public health and vaccination rates among school-aged children.
What information must be reported on NEW HAMPSHIRE SEASONAL INFLUENZA SCHOOL VACCINATION CONSENT FORM?
The information that must be reported on the New Hampshire Seasonal Influenza School Vaccination Consent Form generally includes the student's full name, date of birth, school name, grade level, parent's or guardian's name and contact information, and any relevant medical history or allergies.
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