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Buildings and General Services Office of Purchasing and Contracting 109 State Street phone 8028282211 Montpelier VT 056093001 fax 8028282222 http://bgs.vermont.gov/purchasingSEALED BID REQUEST FOR
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How to fill out vermont school-located influenza vaccine

01
To fill out the Vermont school-located influenza vaccine form, follow these steps:
02
Obtain the form from your school or healthcare provider.
03
Fill in your personal information including full name, date of birth, address, and contact details.
04
Provide details about your vaccination history, including previous flu shots or influenza vaccines received.
05
Indicate any known allergies or medical conditions that may affect your eligibility for the vaccine.
06
Review the consent section and sign the form if you or your child meets the eligibility criteria.
07
Submit the completed form to your school or healthcare provider as instructed.
08
Keep a copy of the form for your records.
09
Note: It is important to follow any specific instructions provided by the school or healthcare provider regarding the submission process.

Who needs vermont school-located influenza vaccine?

01
The Vermont school-located influenza vaccine is typically recommended for:
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- Students attending primary or secondary schools in Vermont
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- School staff members
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- Volunteers and visitors who may have close contact with students
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- Individuals who meet eligibility criteria based on age and health conditions as defined by the Vermont Department of Health
06
It is advisable to consult with your healthcare provider or the school authorities to determine if you or your child should receive the vaccine.
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The Vermont school-located influenza vaccine is a program that provides flu vaccinations to students in schools across Vermont, aimed at increasing vaccination rates among school-aged children.
Schools and educational institutions in Vermont that participate in the school-located influenza vaccination program are required to file the necessary documentation regarding the vaccination of their students.
To fill out the Vermont school-located influenza vaccine form, schools must collect information regarding the students' vaccination status, obtain parental consent, and submit the completed form to the appropriate state health department.
The purpose of the Vermont school-located influenza vaccine program is to reduce the incidence of influenza among students by facilitating easy access to vaccinations in the school setting.
Schools must report details such as the number of students vaccinated, their age, consent status from parents, and any adverse reactions experienced post-vaccination.
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