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Influenza Vaccine Form

posted Oct 17, 2016, 7:44 AM by Timothy Hilton
Please fill out the "Influenza Vaccine Form" (attached below) if you would like your child to get the shot. There will be no Nasal Mist Flue Vaccine this year.

Do not sign up your child if you plan on bringing them to their pediatrician for the shot, or you feel that they would not do well with getting the injection in a school setting.

Also, if your child has a severe (life-threatening) allergy to eggs, or has had a sever reaction to the influenza immunization in the past, please bring your child to their pediatrician.

There will be no make-up clinics.

Please return the permission form by November 7, 2016. If you sign up your child you will be notified of the clinic date.

If you have any questions please call Michelle Dupuis, RN @ 422-6231 ext 4.

Thank you,
Michelle Dupuis, RN
Ċ
Timothy Hilton,
Oct 17, 2016, 7:44 AM
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