Echols County School Based Flu Consent Forms and Information

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

Echols 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.

Linked below are the School Based Flu Consent form for Echols 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 [PDF, 125.21 KB]
Parent Letter Spanish (Carta a las padres) [PDF, 100.17 KB]

Consent Form English [PDF, 867.12 KB]
Consent Form Spanish (Formulario de consentimiento) [PDF, 849.71 KB]

[PDF, 249.07 KB]
HIPAA Privacy Notice (English and Spanish)
CDC Vaccine Statement [PDF]