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

September 25, 2018

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

        Tuesday, October 9 @ SHS (8:30) and SMS (10:00)

         Wednesday, October 10 @ Wetmore (9:00)

         Friday, October 26 @ SES (7:30-9:00)

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 vaccine consent form

2) influenza vaccine information statement

3) NCCHS privacy policy

4) information on filling out the consent form and including payment or a copy of the health insurance card. 

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

 

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