Glen Eden
Intermediate School

Immunisation Forms

HPV Vaccine Parent Consent Form

All year 8 students are being offered a free vaccine at school to help protect them against infection from nine types of human papillomavirus (HPV) that can lead to a range of cancers later in life. This form provides you with information about the HPV vaccine and seeks your permission for your child to be immunised at school. This form has two sections. The first is an information section for you to read and keep. The second section is the consent form which needs to be filled in and returned to your school.

Please click on the PDF link below to download the form and complete it, then return it to your child's classroom teacher.

This is due back April 13 2022

HPVYear 8 HPV consent form.pdf

Boostrix%20 HE1312_Year 7 immunisation Boostrix consent form (1).pdf

Communications Centre

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