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Tdap vaccine consent form for adults

Tdap vaccine consent form 2025

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The document is a Tdap Vaccination Consent Form that collects personal information about the individual receiving the vaccine, includes health screening questions to assess eligibility, and provides consent for vaccination. It outlines the benefits and risks of the Tdap vaccine, details on immunization record confidentiality through the South Dakota Immunization Information System (SDIIS), and includes sections for clinic use.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Do I need a referral for the Tdap vaccine?

Adults. For adults, a healthcare providers office or pharmacy are usually the best places to receive recommended vaccines. If your healthcare provider doesnt have Tdap vaccine, ask for a referral. Federally funded health centers can also provide services if you dont have a regular source of health care.

Is the Tdap vaccine necessary?

Ultimately, the parent has a right to refuse any medical intervention or treatment for their child, including a vaccine. Their decision, however, may conflict with a pediatricians advice.

Why I refused the Tdap vaccine?

Many pregnant women refuse the Tdap and influenza vaccines23 for a variety of reasons,24 including common misperceptions (It will make me sick), concerns for the safety of the fetus or neonate, and personal health beliefs (I never get the flu shot).

What are the guidelines for Tdap vaccination?

CDC recommends 1 dose of Tdap for all adolescents. The preferred age for Tdap administration in adolescents is 11 to 12 years. If adolescents (13 through 18 years) missed getting Tdap at 11 to 12 years of age, administer at the next patient encounter or sooner if adolescent will have close contact with infants.

What happens if you dont get the Tdap shot?

Diphtheria and pertussis spread from person to person. Tetanus enters the body through cuts or wounds. TETANUS (T) causes painful stiffening of the muscles. Tetanus can lead to serious health problems, including being unable to open the mouth, having trouble swallowing and breathing, or death.