2023-2024 HNH Tdap/MCV/MCVB/HPV Consent Form - English

This consent form is for students who would like to have one or more of the following vaccines (Tdap/MCV/MCVB/HPV) administered during the HNH Vaccine Clinic at East Samford School on May 7, 2024. This is for students who have insurance other than PEEHIP. Vaccines cannot be administered to students with PEEHIP insurance. Deadline to submit consent forms is May 3, 2024.

HNH Consent English.pdf, 68.63 KB; (Last Modified on May 1, 2024)