Student Information Sheet

Permission for Medication (MD Signature Form)

Individual Student Health Plan

Vermont's Vaccination Forms

                 - H1N1 Consent Form                                         http://www.ccsvt.us/photofiles/h1n1fluclinicatccs_Consentform10.1.09children.pdf

                 - Schedule  (Beginning 2008-2009 School Year) http://healthvermont.gov/hc/imm/documents/School_NewRegulations_QuickGuide_2008.pdf              

                    - Immunization Exemption Form   http://healthvermont.gov/hc/imm/documents/IZ_School_Immunization_Exemption_Form.pdf

                 - Documentation of History of ChickenPox http://healthvermont.gov/hc/imm/documents/IZ_varicelladocumentation_020808.pdf

Vaccine Adverse Events Reporting System (VAERS)  (For reporting vaccine reactions – tell your MD, too)  is a post-marketing safety surveillance program for vaccine safety sponsored by the CDC and the Food and Drug Administration (FDA).  http://vaers.hhs.gov/