District Departments » School Health Services » Flu Vaccine Forms--English Version

Flu Vaccine Forms--English Version

The Greene County Health Department and the Greeneville/Greene County School System have partnered to provide seasonal influenza (flu) vaccinations at your child's school this fall. If your child is uninsured, there is no cost to you for the flu vaccine. If your child is covered by insurance, including TennCare and private insurance, the County Health Department will file a claim with the insurance plan and receive reimbursement directly from the insurance plan. There is no out of pocket cost to you for the flu vaccines provided during this school flu vaccination clinic.

Heath Departmen nurses will vaccinate children and school staff using only an injectable (shot). There will be no mist given this year. Clinics will begin as soon as the vaccine arrives at the health department (usually middle to late fall).

If you would like for your child to recieve flu vaccine, please fill out both forms (English Page 1 and Page 2)and return to your child's school. Be sure to sign the form as this will be your permission for your student to receive the vaccine. Click on the links on the right side to print a copy of the permission form. Both papers need to be filled out, and insurance information located on page 2 must be complete.