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Meningococcal Meningitis Waiver Form Kansas law requires all students living in University Housing or Greek Housing to either sign a waiver or be vaccinated for meningococcal meningitis prior to moving
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How to fill out meningococcal meningitis waiver form

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How to fill out meningococcal meningitis waiver form

01
Obtain the meningococcal meningitis waiver form from your educational institution or health department.
02
Read the instructions carefully to understand the requirements of the form.
03
Fill out your personal information, including your name, date of birth, and contact information.
04
Review the vaccination history section and indicate whether you have received the meningococcal vaccine.
05
If you are opting out of the vaccination, provide a clear reason for the waiver.
06
Sign and date the form to verify that the information provided is accurate.
07
Submit the completed waiver form to the appropriate office at your institution, ensuring you keep a copy for your records.

Who needs meningococcal meningitis waiver form?

01
Students enrolled in college or university who are residing in on-campus housing.
02
Individuals who are not vaccinated against meningococcal meningitis.
03
Parents or guardians of minors who wish to waive the vaccination requirement.
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The meningococcal meningitis waiver form is a document that allows students or guardians to decline the meningococcal vaccination requirement, usually required by educational institutions.
Typically, students who are required to receive the meningococcal vaccine but choose not to, must file the meningococcal meningitis waiver form.
To fill out the form, the individual must provide personal information, sign the waiver acknowledging understanding of the risks, and submit it to the respective educational institution.
The purpose of the waiver form is to protect educational institutions legally and to inform them that the individual has chosen not to receive the meningococcal vaccine, despite understanding the associated risks.
The form typically requires personal identification information, including name, date of birth, and a signature confirming the decision to waive vaccination.
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