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Get the free 2019 In-School, No-Cost Tdap Vaccine Consent Form

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2019 School, Cost Trap Vaccine Consent Form Complete this form and return it to your children school ONLY if you want your child to receive a vaccine. PLEASE PRINT LEGIBLY WITH A BLUE OR BLACK PEN.
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The in-school no-cost tdap vaccine is a vaccination provided to students at school free of charge to protect against tetanus, diphtheria, and pertussis.
All students attending school are required to receive the in-school no-cost tdap vaccine.
The in-school no-cost tdap vaccine can be filled out by submitting the required forms to the school nurse or healthcare provider administering the vaccine.
The purpose of the in-school no-cost tdap vaccine is to protect students against serious diseases such as tetanus, diphtheria, and pertussis.
Information such as student's name, date of birth, vaccination date, and healthcare provider's information must be reported on the in-school no-cost tdap vaccine.
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