Colpi di influenza 2018

 

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P.O Box 226 1051 State Road 229 North
Batesville, IN 47006
Telefono: 812.932.5105

Dear Parent/Guardian/School Staff:

Margaret Mary Health has agreed to give the flu vaccine at school this fall to students and school staff.
The flu shot (injection) will be the only form of flu vaccine available at school.

Vaccine Charge Options:

MedicaidCharges will be submitted to Medicaid. A copy of both sides of insurance card is required to be sent in with consent form.

No Health InsuranceA person who does NOT have health insurance can receive the flu vaccine for free through the Vaccine For Children Program or the Adult Vaccine Program (317 funding).

Insurance Does Not Cover VaccinesA person who does NOT have health insurance can receive the flu vaccine for free through the Vaccine For Children Program or the Adult Vaccine Program (317 funding).

InsuranceMost insurance plans now cover the flu vaccine. Please contact your insurance company to verify coverage. Vaccines are billed as “preventative” and usually covered under the wellness category of your insurance plan. The MMH Wellness Clinic’s Provider is Dr. Thomas A DeCilles, M.D. A copy of both sides of insurance card is required to be sent in with consent form.

If you have any questions, contact:
• Margaret Mary Occupational Health & Wellness Clinic at 812.932.5105
• Your school nurse
• Your child’s healthcare provider

If you would rather come to our clinic to receive the flu vaccine, appointments can be made by calling 812.932.5105.

Dates of Flu Shots:

24 ottobre – MMH will be at BIS and BMS.

30 ottobre – MMH will be at BPS and BHS.

I have attached the Parent Consent form to be filled out and
returned to your students school clinic.

Parent Consent form MUST BE Ottobre. 5, 2018!
NO Late Forms will be accepted!

Gayla Vonderheide RN,BSN
Director of Health Services/School Nurse

Onsite Flu Vaccine ConsentStudent: Parent Consent Form

VIS-fluFlu Vaccine Information StatementWhat you need to know!

 

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