Flu Vaccine Clinic Monday 11/4/19

The Benton County Health Department will be here on Monday, November 4th to give free flu vaccines to scholars and staff members only.

Immunization consents were passed out today and must be returned on or before Monday, October 28th. LATE FORMS CANNOT BE ACCEPTED.

Scholars will only be given the flu vaccine if they have a completed Immunization Consent. The Immunization Consent includes the following:
1. Arkansas Department of Health Immunization Consent Form (this form is 2-sided)
2. Haas Hall Academy FERPA Consent Form (this is a half sheet form)
***If you do not want your child to have the flu vaccine, simply do not return the consent form.

ALL BLANKS ON ALL PAGES MUST BE COMPLETE FOR CONSENTS TO BE ACCEPTED FOR VACCINE ADMINISTRATION. Please read carefully. Insurance information must be included. If you do not have insurance, please make note in that section.

Please contact me with any questions or concerns.

Thank you,
Michelle Gilbert, BSN, RN
HHAB School Nurse

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