Flu Clinic

Parents, 
We are having a flu clinic at the Lepanto and Tyronza campuses on October 27th. The clinic is for Pre-K through 12th grade students and staff. The Lepanto clinic will be in the cafeteria. The Tyronza clinic will be in the gym.
 
There is no charge to you for the vaccination. ADH does require insurance, Medicaid, or Medicare information. Your insurance will be billed, but there is no charge for you. If you have no insurance, just check the box "no insurance" and the vaccination is still free.
 
Make sure you sign and return the ADH form and the FERPA form. ADH will not administer the vaccination unless both forms are signed. Check all forms front and back before returning.
 
Please send the forms back ASAP. We need a count for ADH and the forms need to be checked for signatures.