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    health

     

    Dear Parents/Guardians of 6th Grade Students:

    The New Jersey Department of Health requires updated immunizations for students entering grade 6. Incoming 6th grade students are REQUIRED to have one dose of Tdap, (tetanus, diphtheria and pertussis vaccine) given no earlier than their tenth birthday AND one dose of a meningococcal vaccine, administered at age 11

    Please make an appointment with your healthcare provider as soon as possible to have the required immunizations administered prior to June 1st. Students who turn 11 over the summer must provide proof of these immunizations before the beginning of the new school year. Students who turn 11 after the start of the school year are required to receive these immunizations within 2 weeks of their birthday. 

    Students missing the above required vaccines may not be admitted to school. Please provide signed documentation from your health care provider that the immunizations have been given, using the form below OR other official immunization record. 

    Thank you for your prompt attention to this matter. If you have any questions, please call at 908-464-4707 Ext: 3514 or email: trevollar@npsdnj.org. 

    Sincerely, 
    Tina Revollar, RN
    School Nurse 

    _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

            (Return this form OR other immunization record to the Health Office Before June 1st)

     

    Student______________________________________received the 

     

    Tdap vaccine _____________________ Meningococcal vaccine _____________________ 

                          (month, day and year)                                       (month, day and year) 

     

    ___________________________              ____________________________
    Signature of Health Care Provider                         Print or Stamp Health Care Provider      

                                                     

     6th Grade Immunization Letter - Print-out

Last Modified on October 29, 2019