Community Health Flu Vaccination Clinics

Community Health will be using the White Travel Trailer on October 21 and 28 for the tribal elders and employees!

As a reminder, there are two forms according to age groups.  In order to expedite the process, please complete only the highlighted areas on the correct form according to your age.

  • If you are 64 years old or younger, you will need to complete the pdf labeled “64 and Under Flu Vaccination Form”
  • If you are 65 years old or above, you will need to complete the pdf labeled “65 and Up Flu Vaccination Form”

 

However, please do not complete the Health Screening questions on the second page of the forms.

64 and Under Flu Vaccination Form

65 and Above Flu Vaccination Form