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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) 


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

Part III: Clinic Guidance

Part IV: Model Emergency Plans

Part V: Vaccine Storage and Handling

Part VI: Billing for Vaccine Administration Fees

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 

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Please visit Maine Center for Disease Control & Prevention for the most up-to-date information regarding Influenza at