A Clinician’s Handbook for Childhood & Adult Immunizations in Georgia
Screening Checklist for Contraindications to Vaccines for Children and Teens
For Parents/Guardians
The following questions will help us determine which vaccines your child may be given today. If you answer “yes” to any question, it does not necessarily mean your child should not be vaccinated. It just means additional questions must be asked. If a question is not clear, please ask your healthcare provider to explain it.
Screening Checklist for Contraindications to
HPV, MenACWY, MenB, and Tdap Vaccines for Teens
For Parents/Guardians
The following questions will help us determine if human papillomavirus (HPV), meningococcal conjugate (MenACWY), meningococcal serogroup B (MenB), and tetanus, diphtheria, and acellular pertussis (Tdap) vaccines may be given to your teen today. If you answer “yes” to any question, it does not necessarily mean your teen should not be vaccinated. It just means additional questions must be asked. If a question is not clear, please ask your healthcare provider to explain it.
Screening Checklist for Contraindications to Vaccines for Adults
For Patients
The following questions will help us determine which vaccines you may be given today. If you answer “yes” to any question, it does not necessarily mean you should not be vaccinated. It just means we need to ask you more questions. If a question is not clear, please ask your healthcare provider to explain it.