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 are shared below and will also be distributed by your child’s school. They must be returned to your child’s school.

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)
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