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Glendale Student Flu Clinic Forms and Information

September/October 2019                                                   

Parent(s)/Guardian(s):                                                                                 

The Springfield School District, in cooperation with Jordan Valley Community Health Center, with support from Springfield Greene County Health Department, Cox Health, and Mercy is offering Seasonal Flu Vaccine to any child free of charge, as supply allows. Your child will receive the Inactivated Influenza (Flu Shot) Vaccine.  The Flu Clinic will be held at your child’s school on Monday, September 30, 2019.

The following conditions would prevent your child from receiving flu vaccine:  allergy to vaccine components, and moderate or severe illnesses. The Vaccine Information Statement for the Inactivated Influenza Vaccine (Flu Shot) is included with this letter. Parents are encouraged to review the information and for those with children who have significant health risks to arrange their immunizations with their primary care provider.

If you are interested in your child receiving the Inactivated Influenza Vaccine (Flu Shot), please complete and sign the consent form and return it to your child’s school nurse before the school flu clinic.

The clinics will be held as supply allows. If you have additional questions about the program, please call your child’s school nurse.

Forms

Flu Consent Form

Flu Information Statement