Consent to Treat for Immunizations
The Immunization Consent Form for Children and the HIPAA Consent Form must be completed by the parent or legal guardian if a friend or family member will be bringing your child for their immunization appointment with the Seneca County General Health District.
Send the completed forms, a current shot record and health insurance card(s) with the adult that is bringing your child to the appointment.
For all other nursing services (e.g. TB testing, lead testing, head lice check) please download and complete the following forms
Send the completed forms and health insurance card(s) with the adult that is bringing your child.
Children's Vaccine Clinics are Thursdays. Please schedule your appointment by calling 419-447-3691 ext. 6333.
71 South Washington Street
Tiffin, OH 44883
(419) 447-3691 ext. 6333
Seneca County General Health District
Tiffin, OH 44883
Hours of Operation
Monday - Friday
8:00 AM - 4:00 PM
© 2018 Seneca County General Health District
71 South Washington St. Suite 1102 Tiffin, OH 44883
In the event of a public health emergency* the Seneca County General Health District can be contacted at anytime.
During regular business hours please call (419) 447-3691.
Regular business hours are Monday - Friday.
Nursing & Vital Statistics: 8:00 a.m. - 4:00 p.m.
Environmental: 8:00 a.m. - 4:30 p.m.
WIC: M-W 8:30 a.m. - 4:30 p.m., Thu. 8:30 a.m. - 7:00 p.m., Fri. 8:30 a.m. - 1:00 p.m.
After business hours, weekends, and holidays please contact the SCGHD Health Commissioner via the Seneca County Sheriff's Office at (419) 447-3456
*A public health emergency includes Class A reportable disease, foodborne illness, and bioterrorism event.