Flu

Public Clinics 2023

To submit a flu consent form online, you MUST have a current email address.

Once you have completed your online flu form and have submitted your electronic signature, you MUST confirm your signature at the email address provided on the flu form.


2023-24 Public Influenza Vaccine Consent Form



2023-24 Public Influenza Vaccine Consent Form - Spanish



October 10th - Walk in Clinic/Herington Community Center - 3pm-6pm



October 11th - Walk in Clinic/Dickinson County Health Department - 1pm-7pm

School Clinics 2023      (Students & Faculty)

To submit a flu consent form online, you MUST have a current email address.

Once you have completed your online flu form and have submitted your electronic signature, you MUST confirm your signature at the email address provided on the flu form.


2023-24 School Influenza Vaccine Consent Form

2023-24 School Influenza Vaccine Consent Form - Spanish

October 10th

Herington Elementary School 

Herington Middle School

Herington High School

 

October 18th

Eisenhower

McKinley 

Kennedy

 

October 19th

Abilene Middle School

Abilene High School

 

October 20th

Solomon Elementary School

Solomon Middle School

Solomon High School

St. Andrews

 

October 25th

Blue Ridge

Rural Center 

Enterprise

Chapman Elementary School

Chapman Middle School

Chapman High School

 

October 27th

White City Schools

Hope Schools