Teenage Booster Vaccination Form
If you do not want your child to receive the vaccination it is important to complete the refusal section on the form
Please enter your email address and the code provided by your school. Then press 'Find School'. It is important that you enter the correct email address as future correspondence will be emailed to you about your child's vaccination.
After you have finished, if you change your mind or need to tell us about changes to your child’s medical history, do not complete another consent form. Please visit
to contact the immunisation team and tell us about any changes.
Confirm email address
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