Electronic Meningococcal Meningitis Response
If you have not received the Meningococcal vaccine within the last 5 years, and you agree with the statement below, please complete the form below.
I have read, or have had explained to me, the information regarding Meningococcal disease. I understand the risks of not receiving the vaccine. I have decided that I (my child) will not obtain immunization against Meningococcal disease.