Please Return this  Signed Form to the School Office

Shots Required for

7th Grade

Shots
4 Tots n Teens

Shots 4 Tots n Teens is a walk rn
immunization clinic for children birth- 18 years of age.
ALL INSURANCES ACCEPTED. Cash,
checks and credrt cards accepted!
8 convenient locations!

LucasCountyHealth .com
OR  4 I92 I34 I2 J

Parents are encouraged to make an appointment now with their child's doctor or visit a Shots 4 Tots n Teens immunization clinic.

Ohio School Vaccination Requirements include a Tdap vaccine booster shot and a Meningitis shot for all children entering the
7th grade.

Please plan now to make sure that your child is up-to-date.
Required Vaccinations:

Tdap Booster --protects against Tetanus, Diphtheria, and
Pertussis (Whooping Cough)

Meningitis Vaccine-protects against bacterial meningitis

They are recommended to be given at age 11 -12 years.

Recommended Vaccinations:

•		HPV (Human  Papillomavirus)-protects against cervical cancer in girls and genital warts in boys

•	Varicella Booster-protects against Chickenpox. A booster dose is now recommended  if child has received only 1previous dose

I verify that this student _____________________________________(name)

Has received Tdap vaccine on ____________ (date)

Has received Meningitis vaccine on ___________ (date)

Signed:  _______________________

Must be signed by the medical professional. Forgery of a medical personnel is against t he law and will be ha ndled accordingly.