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Nemaha County Community Health Services will be offering flu shots to students and staff

NCCHS will be administering flu shots at the following schools on the dates and times below:    

        Tuesday, October 8 @ SHS (8:30) and SMS (10:00)

         Friday, October 11 @ SES (7:30-9:00)

         Tuesday, October 15 @ Wetmore (9:00)

Parent/Guardian needs to:

  1. Complete and sign the consent form.  Print both pages of the consent form and attach. 

  2. Select Method of Payment:

  • Send a copy of both sides of your student’s health insurance card (BCBS, Aetna, Meritain, Cigna, Century Health, Coventry, CoreSource, First Health Network, United Healthcare, KanCare only) if immunizations are a covered expense.  Insurance will be billed $35 for flu shot.  Parents will be billed for any remaining amount that is not covered by insurance.

OR

  • Send a $35 paymentChecks payable to NCCHS.             

Some students may be eligible for flu vaccine at a reduced cost through the Vaccines For Children Program.  Please call NCCHS for information about this program if interested. 

Students will not be administered a flu shot unless consent form is fully completed including parent signature with insurance card or payment attached.

 

The flu vaccination forms are attached along with a copy of the instructions. 

1)Flu Consent form 2019-20

2) influenza vaccine information statement

3) NCCHS privacy policy

4) Information and instructions for flu vaccine

Please contact Jane Sunderland at NCCHS if you have any questions. The number is 785-284-2152 or email ncchs@rainbowtel.net