5.3 School-Based Program
PHN To Do List for School Based Mass Clinics
General Information for School Based Program
ii. School Based Resources
- School Immunization Program
- School Immunization Consent Form, Grade 6 or Grade 8/9 English | French (Updated Aug 2023)
- Grade 6 and Grade 8 Letter to Parents 2023-2024 English | French
- Record of Immunization Form
- Record of Immunization Form *For Students that required 3 doses of HPV/HBV
- Child Requires Additional Dose Bilingual Letter
- Child not Immunized Letter English | French (Updated May 2022)
- Child/Adolescent (General) Immunization Consent Form English | French (Updated Aug 2023)
- Immunization reminder letter English | French (Updated May 2023)
- Kindergarten letter English | French
- Home School Letter English | French
- Dear Parent Grade 6-8 Bilingual Letter (2022-2023 Update)
iii Training
- Manitoba Health School Based Immunization Program (August 17, 2023, Version 3.0)
Grade 6 Program and Grade 7-8 catch-up Program – Human Papilloma Vaccine (HPV), Hepatitis B Vaccine (HBV) & Meningococcal Quadrivalent Vaccine (Men-C-ACYW-135)
i. Resources
ii. Human Papilloma Virus
- Fact Sheet English | French
- Product Monograph
iii. Hepatitis B Vaccine
- Fact Sheet English | French
- Product Monograph
iv. Meningococcal Quadrivalent Vaccine (Men-C-ACYW-135)
Grade 8 Program – Tetanus, Diphtheria acellular pertussis (Tdap) & Tdap/ IPV (Polio);
i. Resources
ii. Tetanus, Diphtheria acellular pertussis (Tdap) & Tdap/ IPV (Polio)
Back to Section 05 – Population Public Health Program Specific Information