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MENINGITIS VACCINE DECLINATION FORM FOR MINORS St. Johns University is in compliance with New York State Public Health Law 2167, which requires ALL students attending colleges and universities in

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How to fill out meningitis vaccine declination form

01

Obtain the meningitis vaccine declination form from your healthcare provider or school.

02

Fill in your personal information such as name, date of birth, and contact information.

03

Indicate the reason for declining the meningitis vaccine.

04

Sign and date the form to acknowledge your decision.

05

Submit the completed form to the appropriate party for processing.

Who needs meningitis vaccine declination form?

01

Individuals who are required to provide proof of meningitis vaccination but are choosing to decline for personal, medical, or religious reasons.

02

Students, employees, or individuals participating in activities that require proof of vaccination may need to submit a meningitis vaccine declination form.

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What is meningitis vaccine declination form?

Meningitis vaccine declination form is a document that allows individuals to officially refuse or decline to receive the meningitis vaccine.

Who is required to file meningitis vaccine declination form?

Anyone who chooses not to receive the meningitis vaccine is required to file the declination form.

How to fill out meningitis vaccine declination form?

The form typically requires basic personal information, reason for declining the vaccine, and signature indicating refusal.

What is the purpose of meningitis vaccine declination form?

The purpose of the form is to document an individual's decision to decline the meningitis vaccine for legal and administrative purposes.

What information must be reported on meningitis vaccine declination form?

Information such as name, date of birth, reason for refusal, and signature are typically required on the form.

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