Perryton Independent School District
821 SW 17th Ave., Perryton, Tx 79070
Phone: 806-435-5478  •  Fax: 806-435-4689
Vaccine Forms

For incoming 7th grade shots:

New requirements for 7th grade immunizations are:

1.        The second varicella (if they haven't had the chickenpox disease).  If they have had the illness, we need the date.

2.       The MCV4, for meningitis prevention.

3.       Tdap, this is a tetanus booster with diphtheria and pertussis (whooping cough) vaccines as well.  If your student has had a tetanus booster within the past 5 years, they don't have to take this now.

 

You need to complete the following forms if you want your student to receive these immunizations at the shot clinic at registration on May 1st.

 

1.       Texas Vaccine for Children Information

2.       Immtrac consent form

3.       Chickenpox Addendum

4.       Meningococcal Addendum

5.       Td/Tdap Addendum

 

If you have these forms completed and bring them with your child to registration, it will speed up the process.  The shots are $5 each and a parent must be present (unless the forms are all completed and you send the money with your student). 

 

 

Immtrac consent form C-7

Chickenpox addendum

Meningococcal addendum

Td/Tdap addendum

Texas Vaccine for Children Information

Inactivated Influenza Vaccine VIS

Flumist Form

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