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Scan for online formSchoolbased Immunisation Program 2025The Schoolbased Immunisation Program provides routine and recommended vaccines to WA high school students for free. Students are eligible to
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How to fill out form school-based immunisation program

01
Obtain the school-based immunisation program form from your child's school or the local health department.
02
Fill in the child's personal details including name, date of birth, and class.
03
Provide the contact information of the parent or guardian, including phone number and email address.
04
Indicate which vaccines your child has already received, if applicable.
05
Review the vaccines that are recommended for the current school year and check the ones you consent to.
06
Sign and date the form to confirm consent for the immunisation program.
07
Submit the completed form to the school nurse or designated health official, ensuring a copy is kept for your records.

Who needs form school-based immunisation program?

01
Children who are enrolled in the school system and require vaccinations as part of the school-based immunisation program.
02
Parents or guardians of school-aged children who need to provide consent for their child's immunisations.
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The school-based immunisation program is a public health initiative that aims to provide vaccines to students in a school setting to enhance vaccination coverage and protect against vaccine-preventable diseases.
The form school-based immunisation program is typically required to be filed by school health officials or designated staff members who are responsible for coordinating immunisation activities within the school.
To fill out the form, individuals must provide relevant details such as student information, vaccination history, and consent from parents or guardians. Guidelines and instructions specific to the form should be followed for accurate completion.
The purpose of the form is to document immunisation data, ensure compliance with public health regulations, and facilitate the tracking of vaccination rates among students within the school.
The information that must be reported includes student names, dates of birth, vaccination status, types of vaccines administered, consent details, and any adverse reactions if applicable.
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