Thank you for choosing Ben Hill County Health Department to provide your child’s influenza vaccination.

Ben Hill County Health Department will be offering printed consent forms this year. Consent forms will be distributed by your child’s school or can be picked up at the health department.

The deadline to complete the school based flu consent form is September 27, 2025

Linked below are the Parent Letters, School Based Flu Consent forms for Ben Hill County, as well as South Health District’s HIPAA Privacy Notice (available in English and Spanish) and the Center’s for Disease Control and Prevention’s Influenza Vaccination Statement.

Parent Letter English
Parent Letter Spanish (Carta a las padres)
Consent Form English
Consent Form Spanish (Formulario de consentimiento)
HIPAA Privacy Notice (English and Spanish)
CDC Vaccine Statement