School-Located Influenza Immunization Clinic Permission Form (2013/2014 Season)
This form will ask detailed questions about the student's medical history and insurance coverage. Please have this type of information available to be able to complete the form.


There is another website that has Frequently Asked Questions about this school flu clinics: http://semnbeacon.wordpress.com/about/flu/


Vaccine Information Statements (VISs) are information sheets produced by the Centers for Disease Control and Prevention (CDC) that explain to vaccine recipients, their parents, or their legal representatives both the benefits and risks of a vaccine.

English
Nasal vaccine: http://www.cdc.gov/vaccines/hcp/vis/vis-statements/flulive.html
Injectable vaccine: http://www.cdc.gov/vaccines/hcp/vis/vis-statements/flu.html

Non-English translations can be found at: http://www.immunize.org/vis/?f=9
These translations are done as a courtesy by IAC to the community.
Make certain you are using the 2013 – 2014 version.

Somali
Nasal vaccine: http://www.immunize.org/vis/somali_flu_live.pdf
Injectable vaccine: http://www.immunize.org/vis/somali_flu_inactive.pdf

Español
Nasal vaccine: http://www.immunize.org/vis/spanish_flu_live.pdf
Injectable vaccine: http://www.immunize.org/vis/spanish_flu_inactive.pdf

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