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- School Vaccination Rule FAQ Updated Oct 2022
- State of Maine Immunization Requirements for School Children
- Sample Immunization Letter to Parents
- Sample Immunization Exemption Form for students with IEPs
- Immunization Tracking Form
- Considerations for Special Populations Notice 6/2022
A Medical exemption is to be provided by the parent/student and must be a written statement from a Maine licensed physician, nurse practitioner or physician assistant that, in the licensed physician's, nurse practitioner's or physician assistant's professional judgment, immunization against one or more of the diseases may be medically inadvisable.
School Nurses can have access to Maine's statewide immunization registry as a way to easily access student immunization records. Maine Immunization Information System (ImmPact)
SCHOOL-LOCATED VACCINE CLINIC (SLVC) RESOURCES
The Maine Department of Education and the Maine Center for Disease Control and Prevention (Maine CDC) support Maine schools and community health partners efforts to provide school located vaccines if they choose to do so. The past efforts of school nurses and community health partners has led to improved health and attendance of school-aged children.
Maine Immunization Program (Maine CDC) Provider Portal & Resources
School-Located Vaccine Clinics Toolkit
Part I: Vaccine Eligibility and Clinic Registration
Part II: Documents to Send Home
- COVID-19 Timeline/History
- Letter Template for Parents/Guardians
- CDC Resources for Hosting a Vaccination Clinic
- CDC Resources for Clinic Guidance During Covid
- Live Intranasal Influenza Vaccine Information Sheet
- Inactivated Injectable Influenza Vaccine Information Sheet
- Vaccine Information Sheet for All Other Vaccines
- Covid-19 EUA Fact Sheets/VIS Form
- Vaccine Health Screen and Permission Form
- After the Shot Parent Information Sheet
Part III: Clinic Guidance
- Framework for Planning SLVCs
- Timeline – School Working without a Partner (Independent)
- Timeline – School Working with a Community Health Partner
- Timeline – Community Health Partner working with a School Standing Order for SLVCs (Model Plan)
- School Physician Letter Template
- State Supplied Vaccine & COVID-19 Vaccine Manufacturer Contact Information for SLVCs
- Sample Letter to Medical Provider
- Model Plan: Reporting Adverse Events following Vaccination (VAERS)
- Community Health Partner Memorandum of Agreement Template
- Clinic Guidance During Covid
Part IV: Model Emergency Plans
- Model Plan: Emergency Plan for Anaphylaxis
- Model Plan: Administration of Epinephrine and Benadryl
- Model Plan: Evaluation and Follow-up of an Exposure to Blood or Other Potentially Infectious Material
- Model Plan: Prevention of Post-Immunization Syncope-Related Injuries
Part V: Vaccine Storage and Handling
List of School-Located Vaccine Clinics (To be updated)
Dose Determination for Influenza Vaccine
Meningococcal Vaccine Health Screen & Permission Form
Tdap Health Screen & Permission Form
Translated Health Screen & Permission Form The following form is provided so that you may use one consent form for multiple vaccines. You may request the document(s) in .doc format by emailing DOESchoolandStudentSupports@Maine.gov
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Please visit Maine Center for Disease Control & Prevention for the most up-to-date information regarding Influenza at MaineFlu.gov.