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

Lowndes County Health Department will be offering printed consent forms this year. Consent forms will be posted to this web page once available.

Consent forms are due by September 15, 2026

Click below to view the Lowndes 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, 133.49 KB]Parent Letter Spanish (Carta a las padres) [PDF, 132.86 KB]
Consent Form (English) [PDF, 910.24 KB]

Consent Form Spanish (Formulario de consentimiento) [PDF, 891.27 KB]
Teacher/Staff Consent Form
HIPAA Privacy Notice (English and Spanish)
CDC Vaccine Statement [PDF]