ࡱ> { ` bjbjBrBr 4  `4,8@@@@@ 8 8 8 8 8 8 8$|:.=~/8/8@@D8111j@@ 81 81164a7@P4A 57Z8085=N=8a7=a71/8/8T8= :  Community Mass Immunization Clinic HEALTH SCREEN & PERMISSION FORM GUIDANCE Tdap Vaccine PURPOSE OF FORM Screen clients in the community Tdap clinics to make sure that they can receive the vaccine in the school clinic setting (Q1-5) Obtain administrative information to be used for billing (Q6-12) Obtain consent which includes permission to have information entered into ImmPact registry Obtain signature from person to be vaccinated or parent/guardian A. WHO SHOULD BE REFERRED TO THEIR OWN HEALTH CARE PROVIDER? Questions 1-5 determine if the client should be vaccinated in the Community Mass Immunization Clinic setting. If any of the questions are answered with a YES then: This person cannot receive their Tdap vaccine in the Community Mass Immunization Clinic setting Refer client to their health care provider to discuss Tdap vaccination B. ADMINISTRATIVE INFORMATION Questions 6-12 provide information that will be used for administrative purposes for recording the vaccination and for billing where appropriate C. PERMISSION TO VACCINATE Includes consent to administer the Tdap vaccination as well as to enter the shot record into ImmPact D. 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