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Printable Flu Vaccine Consent Form

Printable COVID-19 Vaccine Consent Form

Printable Immunization Consent Form

Routine & School Immunizations

  • Influenza (flu)

  • Pnemovax (pneumonia)

  • Prevnar (pneumonia)

  • Havrix (hepatitis A)

  • Engerix (hepatitis B)

  • Gardasil (HPV)

  • Measles Mumps Rubella (MMR)

  • Menactra (meningococcal)

  • IPOL (polio)

  • Boostrix (Tdap)

  • Tetanus/Diphtheria (Td)

  • Varivax (chickenpox)

  • Shingrix (shingles) 

  • TrumemBa (meningitis B)

  • Bexsero (meningitis B)



Travel Immunizations

  • Ixiaro (Japanese encephalitis)

  • YF-Vax (yellow fever)*

  • Typhim (Typoid)

  • Vivotif (Typhoid)

  • Rabavert/Imovax (rabies)

  • Malaria medications as determined by doctor

  *Unavailable until further notice 

Walk-ins are welcome for all vaccines form 9:00am-5:00pm. To speed up your wait time, you may complete our online consent form or print, fill out, and bring in your consent form. 


To see which immunizations you may need, click here to visit the CDC


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