Thank you for choosing Cook County Health Department to provide your child’s influenza vaccination.
Cook County Health Department will be offering printed consent forms this year. Consent forms will be distributed by your child’s school and are linked below. They must be returned to your child’s school.
The deadline to complete the school based flu consent form is September 4, 2026
Click below to view the Cook County HIPAA Privacy Notice 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) [PDF, 130.74 KB]
[PDF, 130.74 KB]Parent Letter Spanish (Carta a las padres) [PDF, 132.21 KB]
Consent Form (English) [PDF, 875.42 KB]
Consent Form Spanish (Formulario de consentimiento) [PDF, 857.96 KB]
