310 E. Torrance Ave., P. O. Box 650

Pontiac, Illinois 61764  map

PH. 1-815-844-7174    FAX 1-815-842-2408    TDD 1-800-526-0844

• CDC Vaccine Information Sheets

• Clinic Schedules

• Fees

• Forms

• Illinois School Requirements

*For your convenience,  you may wish to print the (5) forms below which are marked with an asterick (*), for completion prior to arriving at the Clinic. These forms must be signed by the child's parent or legal guardian. Vaccinations are $15.00 each.

·           JOINT NOTICE OF PRIVACY PRACTICES

·         * CONSENT and ACKNOWLEDGEMENT Receipt of Joint Notice of Privacy Practices

·         * AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION ON SELECTED TESTS  (required to release information to the school)

VACCINATION FORMS

·           CORNERSTONE NOTICE OF PRIVACY PRACTICES

·         * INFORMATION ABOUT PERSON TO RECEIVE VACCINE

·         * IDPH VACCINES FOR CHILDREN PLUS PROGRAM PATIENT ELIGIBILITY SCREENING RECORD

·         * CORNERSTONE CONSENT FORM

CHILD HEALTH EXAMINATION FORM

Certificate of Child Health Examination forms may also be printed from the Illinois Dept. of Public Health website. That address is www.idph.state.il.us under topics a-z section c.

For detailed information and notices on specific vaccinations, visit the Centers for Disease Control at http://www.cdc.gov/od/nvpo/fs_tableI_doc5.htm select the Search tab and enter "Vaccine Information Statement" for a listing of available information.

• Every Tuesday by appointment only.

PHYSICAL EXAMINATIONS are required for those entering:

• Preschool programs
• Kindergarten
• Grade 6 (new 2008)
• Grade 9

Physicals to be done at Prairie Central, Woodland, Pontiac schools and at the Health Department during the summer. The fee is $40.00. Call for appointment.

DENTAL EXAMINATIONS

• Required for Kindergarten, Grade 2 and Grade 6

VISION EXAMINATIONS

• Required for Kindergarten (new 2008)

LEAD SCREENING

    Required for all 6 year olds and under upon entry to a school program

IMMUNIZATIONS

DTaP

• Basic series required (3 shots)
• Booster required after age 4

Td

• Booster required every 10 years
• Usually at entry to grade 9

POLIO - IPV

• Basic series required (3 shots)
• Booster required after age 4

MMR  

• 2 required

#1 after age 12 months

#2 usually after age 4 (must be no less than 1 month after #1)

HiB (HEMOPHILUS INFLUENZA)

• Required for all students 2 years of age or older in a school operated program below kindergarten level

HEPATITIS B (SERIES OF 3)

• Required for all students over age 2 and entering a school program below kindergarten level
• Required for all students entering grade 5

CHICKENPOX (VARICELLA)

• Required for those entering preschool, kindergarten and day care

1. What are vaccinations?

    Vaccinations protect your child against serious diseases.  Most vaccinations are given in a shot. The words "vaccination" and "immunization" mean the same thing.

2. What diseases do vaccines protect against?

  Vaccines protect against measles, mumps, rubella, hepatitis B, polio, diphtheria, tetanus, pertussis (whooping cough), Hib disease, chickenpox, and rotavirus. Vaccines can't prevent children from getting minor illnesses like colds, but they can keep children safe from many serious diseases. Without vaccinations, your child could get very sick.

3. Isn't all this talk about diseases just a way to scare parents so they'll bring their children in for shots?

    No! Many of these diseases still kill people.  From 1989 through 1991, more than 150 people in the United States died from measles and thousands more were permanently damaged.  Children in the United States also continue to die from chickenpox. When children get measles, chickenpox, and other diseases that vaccines could have prevented, they can also suffer from brain damage, hearing loss, heart problems, and lung damage.

4. I don't know anybody who has had mumps or rubella.  Why does my baby need these shots?

    You might not think that these diseases are a serious threat today because you don't see or hear much about them but they are still around.  If we stop vaccinating against these diseases, many more people will become infected. Vaccinating your child will keep him or her safe.

5. Are vaccinations safe?

    Most vaccines cause only minor side effects, such as soreness where the shot was given or a slight fever.  These side effects do not last long and are treatable.  Serious reactions are very rare.  Remember, if your child gets one of these dangerous childhood diseases, the risks of the disease are far greater than the risk of a serious vaccine reaction.  If you have concerns, talk to your doctor or nurse.

6. What if my child has a cold, a fever or is taking antibiotics? Can he or she still get vaccinated?

    Yes. Your child can be vaccinated if he or she has a mild illness such as a cold, a slight fever, or is taking antibiotics. Talk to your doctor or nurse if you have questions.

7. How many times do I need to take my baby in for vaccinations?

    A lot! your baby needs at least five visits to the doctor for vaccinations before he or she is two years old.  All these visits are necessary because there are eleven diseases your baby needs to be protected against and most require several doses for full protection.  Your child will also need vaccinations between the ages of 4 and 6, and then again when he or she is 11-12.

8. How do I know when to take my baby in for shots?

    If you are not sure, call your clinic or your local health department to find out when the next shots are due.  Every time your child gets vaccinated, make sure you know when to bring him or her back for the next set of shots.

9. How do I keep track of my baby's shots?

    You need a personal record card of your child's immunizations.  This card should be brought with you to all medical appointments. Whenever your child received vaccinations, make sure your clinic updates your child's shot record.

10. What if I miss an appointment? does my baby have to get the shots all over again?

    No. If your baby misses some vaccinations, it's not necessary to start over. Your clinic will continue the shots from where they left off.

11. What if my child is older than two? is it too late to get him or her vaccinated?

    No. Although it's best to have your child vaccinated as a baby, it's never to late to start.  If your baby did not receive his or her shots, now is the time to start.

12. What if I can't afford to get my child vaccinated?

    Vaccinations are usually free for children when families can't afford them.  Call 800-232-2522 or your local or state health department to find out where you can go for vaccinations. Your child's health depends on it!

13. And here's a friendly reminder for parents;

    Adults need shots, too! Call your clinic or health department to find out what shots you need or when your next shots are due! Your baby is counting on you!

MMR, DPT, Td, POLIO, HIB, VARICELLA , ADOLESCENT HIB, IPV (INJECTABLE POLIO VACCINE), MENINGITIS, GARDASIL

• $15.00 each for eligible "Vaccine for Children" clients.
• Medical cards accepted.

• For Private Purchase Non-Eligible "Vaccine For Children" clients, adults, & international travel an administrative fee applies in addition to the cost of the Vaccine

PRIVATE PAY PRICES FOR CHILDREN'S IMMUNIZATIONS

Combination Vaccines are:

• Kinrix: Dtap & IPV (for children going into school)

• Pentacil: Hib, Dtap & IPV (2, 4, 6 month vaccines)

• Pediarix: Dtap, Hep B, & IPV (2, 4, 6 month vaccines)

PRIVATE PAY PRICES FOR 2, 4, 6 month groups

Pentacil, Heb B, Rotateq, Prevnar       $296.00

Pentacil, Heb B, Prevnar                     $214.00

PRIVATE PAY PRICES FOR CHILDREN ENTERING SCHOOL

Kinrix, MMR, Varicella                        $206.00

Malaria Ordered through client's pharmacy.

Immunizations needed depends on the country of destination and length of stay, age and health status of the traveler

Personalized consultations are available with a $20.00 fee. Information is provided about recommended immunizations, current outbreaks, disease prevention tips, transportation and crime issues.