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

Lanier 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 Lanier 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.

Consent Form (English)
[PDF, 258.12 KB]Consent Form Spanish (Formulario de consentimiento)
[PDF, 251.18 KB]HIPAA Privacy Notice (English and Spanish)
CDC Vaccine Statement [PDF]