diff --git a/app/enums.js b/app/enums.js
index 911378259..f8a6b6718 100644
--- a/app/enums.js
+++ b/app/enums.js
@@ -30,7 +30,8 @@ export const Adjustment = {
   LastAppointment: 'Needs the last appointment',
   Privacy: 'Needs a private space',
   HomeVisit: 'Needs a home visit',
-  Other: 'Other reasonable adjustment'
+  Other: 'Other reasonable adjustment',
+  None: 'No adjustments required'
 }
 
 /**
@@ -225,7 +226,8 @@ export const Impairment = {
   Memory: 'Memory',
   MentalHealth: 'Mental health',
   Communicative: 'Social and/or communication differences',
-  Other: 'Other'
+  Other: 'Other',
+  None: 'None'
 }
 
 /**
diff --git a/app/locales/en.js b/app/locales/en.js
index 5ba8f3fd2..b5fc35997 100644
--- a/app/locales/en.js
+++ b/app/locales/en.js
@@ -260,13 +260,13 @@ export const en = {
           'Book an appointment for the MenACWY and Td/IPV vaccinations',
         [SessionPresetName.HPV]: 'Book an appointment for the HPV vaccination',
         [SessionPresetName.MMR]:
-          'Book an appointment for an MMR or MMR(V) catch-up vaccination'
+          'Book an appointment for an MMR or MMRV catch-up vaccination'
       },
       primaryProgrammeInSentence: {
         [SessionPresetName.Flu]: 'flu',
         [SessionPresetName.Doubles]: 'MenACWY and Td/IPV',
         [SessionPresetName.HPV]: 'HPV',
-        [SessionPresetName.MMR]: 'MMR or MMR(V)'
+        [SessionPresetName.MMR]: 'MMR and MMRV'
       },
       confirm: {
         title: 'Book an appointment',
@@ -650,6 +650,9 @@ export const en = {
         },
         other: {
           label: 'Other'
+        },
+        none: {
+          label: 'No, my child does not need any adjustments'
         }
       },
       adjustmentsOther: {
@@ -676,6 +679,9 @@ export const en = {
         },
         communicative: {
           hint: 'For example, related to autism or ADHD (attention deficit hyperactivity disorder)'
+        },
+        none: {
+          label: 'No, my child has no impairments'
         }
       },
       impairmentsOther: {
diff --git a/app/models/child.js b/app/models/child.js
index f32c5f346..187df7188 100644
--- a/app/models/child.js
+++ b/app/models/child.js
@@ -150,6 +150,17 @@ export class Child {
     return `${this.formatted.dob} (aged ${this.age})`
   }
 
+  /**
+   * Can the child be offered the MMRV vaccine rather than MMR?
+   *
+   * Note: This property makes no assessment of their <b>need</b> for a vaccination
+   *
+   * @returns {boolean} - true if can be offered MMRV, or false if they should only receive MMR
+   */
+  get canBeOfferedMmrv() {
+    return this.dob?.getFullYear() >= 2020
+  }
+
   /**
    * Get formatted ethnicity (ethnic group and background)
    *
diff --git a/app/views/book-into-a-clinic/form/adjustments.njk b/app/views/book-into-a-clinic/form/adjustments.njk
index 8a34a2a2d..1440ef510 100644
--- a/app/views/book-into-a-clinic/form/adjustments.njk
+++ b/app/views/book-into-a-clinic/form/adjustments.njk
@@ -16,29 +16,16 @@
       }
     },
     items: [{
-      text: __("consent.child.adjustments.guideDog.label"),
-      value: Adjustment.GuideDog
-    }, {
       text: __("consent.child.adjustments.distraction.label"),
-      value: Adjustment.Distraction
-    }, {
-      text: __("consent.child.adjustments.extendedAppointment.label"),
-      value: Adjustment.ExtendedAppointment
-    }, {
-      text: __("consent.child.adjustments.firstAppointment.label"),
-      value: Adjustment.FirstAppointment
-    }, {
-      text: __("consent.child.adjustments.lastAppointment.label"),
-      value: Adjustment.LastAppointment
+      value: Adjustment.Distraction,
+      exclusiveGroup: "adjustments-list"
     }, {
       text: __("consent.child.adjustments.privacy.label"),
       value: Adjustment.Privacy,
       hint: {
         text: __("consent.child.adjustments.privacy.hint")
-      }
-    }, {
-      text: __("consent.child.adjustments.homeVisit.label"),
-      value: Adjustment.HomeVisit
+      },
+      exclusiveGroup: "adjustments-list"
     }, {
       text: __("consent.child.adjustments.other.label"),
       value: Adjustment.Other,
@@ -47,7 +34,17 @@
           label: { text: __("consent.child.adjustmentsOther.title") },
           decorate: "consent.child.adjustmentsOther"
         })
-      }
+      },
+      exclusiveGroup: "adjustments-list"
+    },
+    {
+      divider: 'or'
+    },
+    {
+      text: __("consent.child.adjustments.none.label"),
+      value: Adjustment.None,
+      exclusiveGroup: "adjustments-list",
+      exclusive: true
     }],
     decorate: "consent.child.adjustments"
   }) }}
diff --git a/app/views/book-into-a-clinic/form/impairments.njk b/app/views/book-into-a-clinic/form/impairments.njk
index fbd31f173..669ebb103 100644
--- a/app/views/book-into-a-clinic/form/impairments.njk
+++ b/app/views/book-into-a-clinic/form/impairments.njk
@@ -16,32 +16,38 @@
       text: Impairment.Vision,
       hint: {
         text: __("consent.child.impairments.vision.hint")
-      }
+      },
+      exclusiveGroup: "impairments-list"
     }, {
       text: Impairment.Hearing,
       hint: {
         text: __("consent.child.impairments.hearing.hint")
-      }
+      },
+      exclusiveGroup: "impairments-list"
     }, {
       text: Impairment.Mobility,
       hint: {
         text: __("consent.child.impairments.mobility.hint")
-      }
+      },
+      exclusiveGroup: "impairments-list"
     }, {
       text: Impairment.Memory,
       hint: {
         text: __("consent.child.impairments.memory.hint")
-      }
+      },
+      exclusiveGroup: "impairments-list"
     }, {
       text: Impairment.MentalHealth,
       hint: {
         text: __("consent.child.impairments.mentalHealth.hint")
-      }
+      },
+      exclusiveGroup: "impairments-list"
     }, {
       text: Impairment.Communicative,
       hint: {
         text: __("consent.child.impairments.communicative.hint")
-      }
+      },
+      exclusiveGroup: "impairments-list"
     }, {
       text: Impairment.Other,
       conditional: {
@@ -49,7 +55,17 @@
           label: { text: __("consent.child.impairmentsOther.title") },
           decorate: "consent.child.impairmentsOther"
         })
-      }
+      },
+      exclusiveGroup: "impairments-list"
+    },
+    {
+      divider: 'or'
+    },
+    {
+      text: __("consent.child.impairments.none.label"),
+      value: Impairment.None,
+      exclusiveGroup: "impairments-list",
+      exclusive: true
     }],
     decorate: "consent.child.impairments"
   }) }}
diff --git a/app/views/book-into-a-clinic/form/vaccination-choice.njk b/app/views/book-into-a-clinic/form/vaccination-choice.njk
index 5ac988f6b..4c8337a9d 100644
--- a/app/views/book-into-a-clinic/form/vaccination-choice.njk
+++ b/app/views/book-into-a-clinic/form/vaccination-choice.njk
@@ -34,10 +34,14 @@
       value: 'td-ipv',
       hint: { text: 'Protects against tetanus, diphtheria and polio' }
     },{
-      text: 'MMR(V)',
+      text: 'MMRV',
       value: 'mmr',
       hint: { text: 'Protects against measles, mumps, rubella and varicella (chickenpox)' }
-    }],
+    } if appointment.child.canBeOfferedMmrv,{
+      text: 'MMR',
+      value: 'mmr',
+      hint: { text: 'Protects against measles, mumps and rubella' }
+    } if not appointment.child.canBeOfferedMmrv],
     decorate: "appointment.selected_programme_ids"
   }) }}
 {% endblock %}
diff --git a/app/views/book-into-a-clinic/start.njk b/app/views/book-into-a-clinic/start.njk
index 2e6cdc39a..c70c8c33a 100644
--- a/app/views/book-into-a-clinic/start.njk
+++ b/app/views/book-into-a-clinic/start.njk
@@ -14,7 +14,6 @@
         If your child has not been vaccinated at school, or is not up to date with their vaccinations for any other reason, you can book into a clinic.
       </p>
       
-      {# TODO: change the use of sessionPreset.name here to a more public-facing name. For example, present "MenACWY and Td/IPC" instead of "Doubles" #}
       <p>
         Clinics have recently been set up to offer {{ __("clinicBooking.start.primaryProgrammeInSentence." + sessionPreset.name) }} vaccinations, but your child may be able to catch up on any outstanding
         vaccinations during their appointment.