April 11, 2022
TO: Parents of Rising 12th Grade Students
FROM: Northumberland County Health Department
SUBJECT: Meningococcal Vaccination for 12th Graders
State law requires all students entering 12th grade receive a booster dose of Meningococcal vaccine. This means all rising 12th graders must have received a dose of Meningococcal vaccine before they can start 12th grade.
If your child has already received their vaccination, please send a copy of the vaccination record to the school. If your child has not received this vaccination, and you would like him/her/them to be vaccinated at school, the Health Department will provide the required immunization at NHS on April 28,2022, starting at 9:00am at no cost to the student / family.
If your child has private insurance/FAMIS/Medicaid, enter the coverage information on the consent form as requested along with a copy of the front and back of your insurance card. VDH is required to bill for the service if you have medical coverage. Vaccine is limited and will be provided on a first come, first served basis.
Attached are two forms:
1- 2022 Student Vaccination Consent Form (complete front and back and return to the school), Spanish form
2- Meningococcal Vaccine Information Statement (read and keep); (Spanish)
In order for your child to be vaccinated at school, the Vaccination Consent Forms must be filled out and returned to the school as soon as possible, but no later than April 28, 2022. Finally, please ensure your child is wearing clothing that allows easy access to their arm.
If you have any questions, please contact the school nurse.
Lori Rice, RN
NMS/NHS School Nurse
804-580-5192
[email protected]