Optional Influenza Vaccination Clinic
CentraCare is working with your local school to administer an optional seasonal influenza vaccine to students in grades K-12.
We will be holding the Influenza Vaccination Clinic on Friday, October 11 at NLS Schools. Please complete and return the consent forms to your child’s school by Friday, October 4, 2024.
If you would like your child to receive the influenza vaccine (flu shot or mist), please read, and fill out the following form(s) and sign the Admission Consent by October 8.
influenza vaccine (flu mist informational sheet)
influenza vaccine (injectable informational sheet)
2024 Vaccination Clinic Consent
Admission Consent
The Admission Consent is giving consent for your child to receive the vaccine and for us to bill your insurance. Completing these forms will allow us to give your child the vaccine. We will file charges for the vaccine with your
insurance provider. Any unpaid balance will be your responsibility.
If, at any time, you change your mind about having your child vaccinated or have questions about the flu vaccine, please contact your child’s clinic. You can also visit our website at: www.centracare.com