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Rev. 4/2020Primary Care Health ServiceUnder 18: Required Forms PacketUnder 18: MENINGOCOCCAL MENINGITIS VACCINATION RESPONSE FORM
and
MINORS CONSENT FORTRESS FORMS MUST BE FAXED OR MAILED BY
Fax Number:
June
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How to fill out under 18 meningococcal meningitis
How to fill out under 18 meningococcal meningitis
01
To fill out under 18 meningococcal meningitis, follow these steps:
02
Gather all necessary information such as personal details, medical history, and immunization records.
03
Obtain the meningococcal meningitis vaccination form from a healthcare provider or download it from the official website.
04
Read the instructions on the form carefully to understand the required information.
05
Start filling out the form by providing your child's full name, date of birth, and contact details.
06
Indicate any medical conditions or allergies your child may have.
07
Enter the vaccination dates and details, including the manufacturer, lot number, and administering healthcare professional's information.
08
Attach copies of relevant immunization records to support the information provided.
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Review the completed form for accuracy and completeness.
10
Sign and date the form to certify the information provided is true and accurate.
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Submit the filled-out form to the appropriate healthcare provider or organization responsible for maintaining vaccination records.
Who needs under 18 meningococcal meningitis?
01
Under 18 meningococcal meningitis vaccine is recommended for individuals below the age of 18 years.
02
It is particularly important for adolescents and pre-adolescents as they are at higher risk of contracting meningococcal meningitis.
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Students going to college, boarding schools, or other crowded living conditions should also consider getting vaccinated.
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Additionally, individuals with specific medical conditions or weakened immune systems may require this vaccine as recommended by their healthcare provider.
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Consult with a healthcare professional to determine if under 18 meningococcal meningitis vaccine is necessary for you or your child.
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