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Meningococcal ACYW135 Hepatitis B & Human Papillomavirus VaccinesConsent Form Part 1Student informational NAMEFIRST NAMED ATE OF BIRTH (YYY/MM/DD)ONTARIO HEALTH CARD (optional)GENDER Male Female Other
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How to fill out meningococcal acyw-135 hepatitis b

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To fill out the meningococcal acyw-135 hepatitis b form, follow these steps:
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Begin by providing your personal information, including your full name, date of birth, and contact details.
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Fill in your medical history, including any past illnesses, surgeries, or chronic conditions.
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Indicate your vaccination history, including dates and types of previous meningococcal and hepatitis B vaccines received.
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Answer the screening questions regarding any allergies or adverse reactions to vaccines.
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Who needs meningococcal acyw-135 hepatitis b?

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Meningococcal acyw-135 hepatitis b vaccine is recommended for the following individuals:
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- Infants and children between the ages of 2 months and 18 years
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- Healthcare workers who are at risk of exposure to meningococcal or hepatitis B infections
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- Travelers visiting areas with high rates of meningococcal or hepatitis B infections
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- Individuals with compromised immune systems
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- It is always best to consult with your healthcare provider for personalized recommendations regarding meningococcal acyw-135 hepatitis b vaccine.
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Meningococcal ACYW-135 Hepatitis B is a combination vaccine that helps protect against meningococcal disease and hepatitis B.
Individuals who are at risk for meningococcal disease and hepatitis B are required to receive the vaccine.
The vaccine is typically administered by a healthcare provider through an injection.
The purpose of the vaccine is to prevent infection and disease caused by meningococcal bacteria and hepatitis B virus.
The vaccine type, date of administration, and any adverse reactions should be reported.
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