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School Immunization Consent Form Meningococcal CACYW135 Vaccine, Hepatitis B Vaccine, & Human Papillomavirus (HPV 9) Vaccine All signed consent forms are to be returned to school with the applicable

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How to fill out meningococcal acyw-135 hepatitis b

01

Obtain the meningococcal ACYW-135 Hepatitis B vaccine from a healthcare provider or clinic.

02

Review the vaccine information sheet provided by the healthcare provider.

03

Confirm with the healthcare provider if you are eligible to receive the vaccine based on your age and medical history.

04

Fill out any necessary forms or paperwork required by the healthcare provider.

05

Schedule an appointment to receive the vaccine.

06

Follow any additional instructions provided by the healthcare provider before and after receiving the vaccine.

Who needs meningococcal acyw-135 hepatitis b?

01

Individuals at increased risk of meningococcal disease, such as college students living in dormitories, military personnel, and travelers to regions with high rates of the disease.

02

Individuals who may be at risk of contracting hepatitis B, such as healthcare workers, people with multiple sexual partners, and individuals who inject drugs.

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What is meningococcal acyw-135 hepatitis b?

Meningococcal ACYW-135 hepatitis B is a combined vaccine that helps protect against meningococcal disease and hepatitis B. It is commonly given to adolescents and young adults.

Who is required to file meningococcal acyw-135 hepatitis b?

Individuals who are recommended to receive the vaccine by healthcare providers are required to get vaccinated with meningococcal ACYW-135 hepatitis B.

How to fill out meningococcal acyw-135 hepatitis b?

The vaccine is typically administered by a healthcare provider through an injection in the upper arm.

What is the purpose of meningococcal acyw-135 hepatitis b?

The purpose of the vaccine is to protect individuals from contracting meningococcal disease caused by four different strains of the bacteria Neisseria meningitidis, as well as to prevent hepatitis B infection.

What information must be reported on meningococcal acyw-135 hepatitis b?

Information such as the date of vaccination, vaccine manufacturer, lot number, and healthcare provider information should be reported when administering the vaccine.

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