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Louisa County Public Health 805 James L. Hodges Ave N Apollo, IA 52653 Phone: 3195233981 FAX: 3195238408VACCINE ADMINISTRATION RECORD The doctor or clinic may keep this record in your medical file

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How to fill out tdap and meningitis form

01

Obtain the tdap and meningitis form from your healthcare provider or school.

02

Fill out the form completely with accurate information.

03

Make sure to include your personal information, vaccination dates, and any other required details.

04

Review the form for any errors or missing information before submitting it.

Who needs tdap and meningitis form?

01

Individuals who are required to have up-to-date vaccinations for tetanus, diphtheria, pertussis (tdap), and meningitis may need these forms.

02

This may include students entering school, college, or university, as well as healthcare workers and certain travelers.

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What is tdap and meningitis form?

The Tdap and meningitis form is a document that certifies an individual's vaccination against tetanus, diphtheria, and pertussis (Tdap) and meningitis (meningococcal disease).

Who is required to file tdap and meningitis form?

Typically, incoming students in colleges and universities, particularly those residing in on-campus housing, are required to file the Tdap and meningitis form.

How to fill out tdap and meningitis form?

To fill out the form, individuals must provide personal information such as name and date of birth, as well as details about their vaccination history, including dates and types of vaccinations received.

What is the purpose of tdap and meningitis form?

The purpose of the Tdap and meningitis form is to ensure that individuals have received the necessary vaccinations to protect against serious diseases and to comply with institutional health policies.

What information must be reported on tdap and meningitis form?

The form must report the individual's name, date of birth, vaccination dates for Tdap and meningitis, and the name of the healthcare provider who administered the vaccines.

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