Flu Vaccination Clinics Dates & Times 2022 – Paperwork Must Be Completed

Monday, October 24th: 8:30 a.m. – 3:00 p.m.
Cabot High School Loft (Available to high school students only and Cabot District Staff)

Friday, October 28th: 8:30 a.m. – 4:00 p.m.
Cabot Health Unit (For all students and staff)

*The Cabot Health Unit is located at 118 S 1st Street.

For your high school student to receive the flu vaccine Monday, Oct. 24th at school, you must:

1. Read the Vaccine Information Statement for the vaccine.

2. Read and complete the front and back of the Arkansas Department of Health
(ADH) consent form.

3. PRINT clearly all information required on the ADH consent form.

4. Make sure you have signed the ADH consent form for the flu vaccine.
(Spanish Version)

5. Sign the school district (FERPA) consent form (you may have signed this form at
the beginning of the school year when your child was registered for school).

6. Return both consent forms to your child’s school as quickly as possible. Your student may turn in the paperwork Friday to the school nurse or bring it with them to the flu clinic Monday.

The consent forms must be completed and signed by the parent before your student can receive the flu vaccine. The forms are attached in the links above.

There is “No Out-of-Pocket Expense” to students for flu vaccinations. If students have private insurance, Medicaid or AR Kids, that information will be requested on the immunization forms.

ALL employees must present their insurance card or have insurance # on the consent form in order to receive the vaccine. There is “No Out-of-Pocket Expense” to all employees for flu vaccinations and no co-pay will be charged.