Vaccine Clinic Checklist

Clinic Promotional and Informational Materials
Clinic Flyer-Poster
Parent Letter
Newsletter Article
Disease Fact Sheet
   
Clinic Administrative Forms
Immunization Consent Form
 
Prepayment Form
 
Vaccine Information Statement (VIS)
 
Immunization Provider Notification Letter
 
Meningococcal Vaccine Receipt
 
Vaccination Clinic Administration Record
   
Suggested Uses for Clinic Resource Materials
Vaccination Clinic Resource Guide

Meningococcal Immunization Clinic Program

Due to extraordinary member interest, the National Association of School Nurses (NASN) has enhanced its Get S.M.A.R.T. About Meningitis! meningococcal disease awareness online resource guide to include vaccination clinic materials.

The Centers for Disease Control and Prevention recommends meningococcal immunization for all adolescents 11-18 years of age.

These new items have been developed to provide school nurses with strategies and tools necessary to conduct school-based meningococcal disease vaccination clinics to aid in the implementation of the CDC recommendations.  Several materials included are designed in a “turnkey” or template format – meaning the document features text, indicated in brackets [e.g., INCLUDE NAME OF SCHOOL HERE], that can be customized with your school’s information.

Click on the links in the left-hand column to view the resource guide materials.

This program is supported through an unrestricted educational grant to the National Association of School Nurses from sanofi pasteur.