For other private insurance, payment is expected at time of service and we will give a receipt which you can send to your insurance company. One dose of MMR vaccine after the first birthday for school entrance with a second dose required for middle school or 6th grade in private schools or rural schools without a junior high or middle school. All adults need a Td booster every ten years. Adults born after 1956 should have received two doses of MMR vaccine. They are required for college students and day care workers.
Periodic outbreaks occur in the United States, sometimes involving food handlers.
Montana is among the states with a moderate amount of Hepatitis A cases. The vaccine is two doses 6 - 12 months apart and is recommended for travelers to foreign countries, people who eat out frequently, food handlers and day care workers. Hepatitis B is spread through contact with blood, objects contaminated with blood, body fluids, and sexual contact. The vaccine is three doses, the first two are one month apart and the third dose is five months later. Some people with special health problems may require additional doses.