Minor Vaccine Consent Form
To be used signed by a parent or legal guardian for a person under 18 years of age to receive an approved vaccine.
Currently, only Pfizer is approved for 16 and 17 year olds.
Grundy County Health Department (GCHD) will structure the COVID-19 Vaccination Program around the phases of vaccine administration as identified by the Advisory Committee on Immunization Practices (ACIP) and as recommended by the Illinois Department of Public Health (IDPH). The Phased Approach is subject to change at any time based on available resources and as directed by advisory groups.
The State of Illinois is expanding mass vaccination efforts throughout the State, and Grundy has been selected to host an on-going mass vaccination clinic. The site will be managed by the Grundy County Health Department, but supported through the Illinois National Guard and contractual providers. The site is intended to expedite the delivery and administration of vaccine to local residents, and then be available as a regional mass vaccination site.