If someone other than a parent or legal guardian is bringing a minor child to the Seneca County General Health District (SCGHD) for services, the following steps are to be completed prior to the appointment:
For an immunization visit:
Print off the following forms:
1- INTERNET CONSENT FORM and
Send the completed forms, a current shot record and health insurance card(s) with the adult that is bringing your child.
For any other nursing service,
Print off the following forms
1- Consent for care and
Send the completed forms and health insurance card(s) with the adult that is bringing your child.
- Vaccines Available for Childhood Illnesses
- Yellow Fever Vaccine
- Flu, Pneumonia and Other Adult Immunizations
Vaccines are the safest means of protection for infants against deadly diseases. By the time a child is 2 years of age, the following vaccines should have been administered (according to the Ohio Department of Health):
- 4 DTaP (diphtheria, tetanus, pertussis)
- 3 Polio (inactivated polio)
- 4 Hib (haemophilus influenzae b)
- 3 Hepatitis B
- 1 MMR (measles, mumps, rubella) 1 Varicella (chickenpox)
When a child reaches the age of Kindergarten, the following vaccines are required:
- 5 DTaP (diphtheria, tetanus, pertussis)
- 4 Polio (inactivated polio)
- 3 Hepatitis B
- 2 MMR (measles, mumps, rubella)
- 2 Varicella (chicken pox)
Before children were immunized, parents in the United States could expect that every year:
- Polio would paralyze 10,000 children.
- Rubella (German Measles) would cause birth defects and mental retardation in as many as 20,000 newborns.
- Measles would infect about 4 million children — killing 3,000.
- Diphtheria would be one of the most common causes of death in school-aged children.
- A bacterium called Hib would cause meningitis in 25,000 children, leaving many with permanent brain damage.
- Pertussis (whooping cough) would kill 8,000 children, most of who were under the age of 12 months.
Taken from What Every Parent Should Know About Vaccines, Paul Offit & Louis Bell, 1998.)
- Reliable Sources
- Vaccine Information
- Center for Disease Control
- Sign up to receive from Children’s Hospital of Philadelphia (CHOP) information related to your child’s helath
**For Foreign Travel Vaccinations:
CDC Immunization Update 1-800-282-0546
To receive faxed information only, call 1-877-394-8747