Immunizations and Forms
9/1/17: If you have school/daycare forms that need filled out, please bring them to your appointment and we will do them at the visit. Otherwise, you may request a form to be filled out and please note that we need 5-7 days to process these forms. Provide the name of the school/daycare along with the fax number and we will send it directly to the facility or you may request it to be sent to you via fax or mail.
Below are links to the WholeKids vaccine schedule, consent forms and the State of Ohio vaccine exemption form.
Patients needing only vaccines should schedule an appointment with one of our nurses. If you need extra time to discuss vaccines, please schedule an appointment with Dr. Sant or Adrienne to discuss your concerns.
- WholeKids Immunization Schedule
- Parent Consent Form - Vaccine Schedules
- Ohio Vaccine Exemption Form; The Ohio Vaccine Exemption form should be used by families choosing not to vaccinate who need to provide documentation to a school or other entity. This form is signed and submitted by parents only and does not require the signature of a health care provider.