School Immunisation Service Vaccination Consent Forms


Seasonal Flu

The children's flu vaccine is offered as a yearly nasal spray to young children to help protect them against flu.

Flu consent form »

Diphtheria, Tetanus & Polio (Td/IPV), Meningococcal ACWY

In year 9, your child is offered 2 vaccinations. These are the Meningitis ACWY vaccine which helps to protect against Meningitis and Septicaemia and the DTP booster which helps to protect against Diphtheria, Tetanus and Polio. Young people may be offered the MMR vaccine to protect against Measles, Mumps and Rubella if they did not receive it when they were younger. Information about the vaccinations will be added to your child’s health record, including GP records and those held by the NHS. If you do not want your child to receive the vaccination it is important to complete the refusal section on the form.

Td/IPV MenACWY consent form »

Human Papilloma Virus (HPV)

HPV vaccine is offered to all boys and girls from year 8. HPV Vaccine protects against cervical cancer, some mouth and throat cancers and some cancers of the anal and genital areas. It also helps protect against genital warts. Following the success of the HPV programme and how effective the vaccine has been, the Joint Committee for Vaccination and Immunisation have made the decision to change to a one dose programme from 1st September 2023. Information about the vaccinations will be added to your child’s health record, including GP records and those held by the NHS. If you do not want your child to receive the vaccination it is important to complete the refusal section on the form.

HPV consent form »

Measles, Mumps & Rubella (MMR)

MMR is a safe and effective combined vaccine that protects against 3 separate illnesses – measles, mumps and rubella (German measles) – in a single injection. The full course of MMR vaccination requires 2 doses.

MMR consent form »