October 11, 2021
Dear Parent/Guardian:

The Franklin County Health Department will be providing Influenza vaccinations at the schools.
This year, the vaccine will, again protect against both Seasonal Influenza and H1N1 flu. There will be no cost to the parents for this vaccination. However, we will be billing insurance
companies this year.

Please complete the registration form  and return it to your
child’s homeroom teacher by Friday, October 15th; don’t forget to answer the Medical History questions and sign for consent.

Parents/Guardians are not required to be present when their child receives the vaccination if they have signed the consent form in advance.
We will only be administering injectable flu vaccine this year.

You may access the Influenza Vaccine Information Sheet and the Notice of Privacy Policy mentioned on the form, on our website, or you may request one from your child’s school.

Your child will receive their flu vaccine between October 18th and October 29th, 2021.

Remember this year we need your insurance information but there will be no co-pays.

If you have any questions or concerns, you may contact your school nurse.

Sincerely,
Michelle Searcy, RN
Michelle Searcy, BSN, RN
School Nurse Supervisor