5.3 School-Based Program

PHN To Do List for School Based Mass Clinics

School Immunization Clinic Huddle NEW (2026-2027)

General Information for School Based Program

i. Eligibility Criteria

ii. School Based Resources

• School Immunization Program
  • Provincial School Based Immunization Quick Reference Guide (June 2026)
• School Immunization Consent Form, Grade 6 or Grade 8/9
  • English – Letter I English – Legal
  • French – Letter I French – Legal
• Grade 6 and Grade 8 Letter to Parents 2026-2027  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 
• Child/Adolescent (General) Immunization Consent Form English | French
• Immunization reminder letter English | French
• Kindergarten letter English | French
• Home School Letter English | French
• Dear Parent Grade 6-8 Bilingual Letter 2026-2027

iii. Training

• Manitoba Health School Based Immunization Program 

Grade 6 and 8 Program – Human Papilloma Vaccine (HPV),  Hepatitis B Vaccine (HBV) & Meningococcal Quadrivalent Vaccine (Men-C-ACYW-135)

i. Resources- Grade 6

• Grade 6 School Immunization Program Factsheet for Parents & Guardians June 2025
• Programme d’immunisation de la 6^e année Santé publique – Feuille de renseignements pour les parents et les tuteurs juin 2025
• Grade 6 School Immunization Program Factsheet for Parents & Guardians in Additional Languages (Select language via the drop-down menu)

ii. Human Papilloma Virus

• Fact Sheet  English | French
• HPV vaccine – Gardasil® 9 Product Monograph

iii. Hepatitis B Vaccine

• Fact Sheet  English | French
• Hepatitis B Vaccine – Engerix®-B Product Monograph

iv.  Meningococcal Quadrivalent Vaccine (Men-C-ACYW-135)

• Fact Sheet  English | French
• Product Monograph:
  • Menactra
  • Meningococcal Conjugate Quadrivalent Vaccine – Nimenrix® Product Monograph

Grade 8 Program – Tetanus, Diphtheria acellular pertussis (Tdap) & Tdap/ IPV (Polio);

i. Resources- Grade 8

• Grades 8/9 School Immunization Program Factsheet for Parents & Guardians August 2021
• Programme d’immunisation de 8e et 9e années – Santé publique – Feuille de renseignements pour les parents et les tuteurs  août 2021

ii. Tetanus, Diphtheria acellular pertussis (Tdap) & Tdap/ IPV (Polio)

• Fact Sheet Tdap English | French
• Fact Sheet Tdap-IPV English | French
• Product Monograph:
  • Tetanus, Diphtheria, acellular pertussis (Tdap) Vaccine – Boostrix® Product Monograph
  • Tetanus, Diphtheria, acellular pertussis and inactivated polio (Tdap-IPV) vaccine – Boostrix®-Polio Product Monograph

NEW Grade 6 & 8 Hepatitis A Campaign Initiative 2026-2027 – Hepatitis A Vaccine (HAV) or Hepatitis A and B Vaccine (HAHB)

i. Resources

• Parent Information Letter for Grade 6 and Grade 8 students
• Operational Guidance Document
• Frequently Asked Questions (FAQ) for Public Health Nurses
• Tracking Spreadsheet

Back to Section 05 – Population Public Health Program Specific Information

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