HIPAA Memo from Maine DHHS 10.2004   Immunization Tracking Form      

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 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.   

 The Vaccine Information Statements (VIS) for influenza vaccine is no longer updated yearly the most current version can be found on the US CDC webpage here

Template Letter for Parents/GuardiansHealth Screen/Permission Form Influenza 

Dose Determination for Influenza Vaccine 

Meningococcal Vaccine Health Screen & Permission Form

Tdap Health Screen & Permission Form 

Translated Health Screen & Permission Forms for Influenza Vaccine available in the following languages: (note that these were created for 2016-17, so the dates are not correct) 

Acholi  Arabic  Chinese French Khmer   Russian Somali   Spanish  Vietnamese  

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