Communicable Disease Control Branch ~ Immunisation Section

School Based Immunisation Program

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Protocols, Forms and Letters

Protocols

• Anaphylactic Assessment (DOC 83KB)

• Immunisation Program Risk Identification and Assessment (DOC 87KB)

Forms

• Feedback/Comments Form (DOC 194KB)

• Vaccine Administration Incident Report Form (DOC 118KB)

• Pre-vaccination Checklist for Students (DOC 29KB)

Letters

• Article for Newsletter – Student Absent on Vaccination Day (DOC 65KB)

• Article for School Newsletter

  • Reminder for Parents (DOC 29KB)

  • Secondary School (DOC 32KB)

• Introductory Letter from Provider to School Principal (DOC 31KB)

• Fax Back Information for School Visit and room requirement (DOC 95KB)

• Missed Vaccinations in School Based Immunisation Program - to parents (DOC 69KB)

• Provider Letter for Second Visit to Principal (DOC 67KB)

• Response to Vaccination – to Parents (DOC 77KB)

• Recommendation for 2nd Dose Chickenpox Vaccine (DOC 64KB)

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