Flu
Vaccines for Students!
There
will be two opportunities for students to receive the flu vaccine at school
again this year. Your insurance coverage determines which opportunity is
applicable for your child. No child is eligible for both – so please read
the information below carefully! However, insurance coverage is not
required in order for your student to get the flu vaccine at school.
Listed below is an explanation of both programs, so that you have all the
information needed to get your child vaccinated at school. Necessary
forms are attached.
PEEHIP
Flu Vaccine Program – for parents with BCBS PEEHIP insurance
The Public Education Employees’ Health
Insurance Program (PEEHIP), in cooperation with the Alabama Department of
Public Health (ADPH) Wellness Program, will be offering influenza vaccine in
our schools this fall according to the schedule below for children who are
covered under Blue Cross Blue Shield (BC/BS) PEEHIP. These dates listed below
are only for children of PEEHIP members with an insurance policy number
starting with the letters EDU. For children not covered under BC/BS PEEHIP,
influenza vaccine will be administered by a separate company through the “Teach
Flu a Lesson” program which will be explained in the next section.
There are two different types of
influenza vaccine. You will have the option of choosing either an intranasal or
an injectable vaccine for your child if he or she meets the criteria specified
on the Influenza Vaccine Administration Form. There will be no charge for the
vaccine.
The following three items are attached.
The form marked with an asterisk (*) must be completed, signed by the parent,
and returned to your child’s school nurse no later than 2 weeks prior to the
vaccination date. The two vaccine statements are for your information.
PEEHIP FORMS
(attached)
*Influenza Vaccine Administration
Form/Consent Form for Dependents
This required form contains
contact information and asks questions about your child’s health status and
history. Parents must select whether they wish their child to receive the nasal
spray or the vaccine through injection. It also contains the child’s name,
address, gender, race, date of birth, and insurance policy information. It
gives permission for your child to receive the vaccine and authorizes insurance
payment. Individuals will not be charged an administration fee in school-based
clinics. The form notes receipt of privacy rights and acknowledges a parent has
had the opportunity to discuss the immunization with the provider.
Vaccine Information for Flu Mist;
Vaccine Information for Injection -These are for your information.
No student will be vaccinated without
signed consent. Complete the Influenza Vaccine Administration Form and
turn it in to your child’s school nurse. If you have any questions or
concerns, please feel free to call your school nurse.
PEEHIP FLU VACCINE SCHEDULE
|
School
|
Date
|
Turn in forms by:
|
|
Hewitt Trussville Middle
|
10/20/2014
|
9/30/14
|
|
Paine Intermediate
|
9/23/2014
|
9/9/14
|
|
Paine Primary
|
9/23/2014
|
9/9/14
|
|
Hewitt Trussville High
|
9/23/2014
|
9/9/14
|
Teach
Flu A Lesson Vaccine Program – for students with other insurance or no
insurance
HNH
Immunizations Inc. is an Alabama based Vaccine for Children Provider that,
along with the Family Health Clinic of Union Springs and the support of Alabama
based schools of nursing, will be offering the pain-free FluMist®
Quadrivalent vaccine for our students with no deductibles or out of pocket
expenses. Medicaid, BCBS, ALL Kids, and other private insurance companies will
be billed. Students with no insurance will be provided their flu vaccine at no
cost, If you prefer an IIV (shot) please contact 1-205-609-0268, and IIV
forms and Vaccine while supplies last. Information Statements will be
sent to you for completion. We are prohibited from vaccinating PEEHIP members.
Please see the information below regarding PEEHIP flu vaccine dates and
procedures.
There are two forms regarding this
vaccine program. The form marked with an asterisk (*) must be completed,
signed by the parent, and returned to your child’s school nurse no later than 2
weeks prior to the vaccination date. The vaccine statement is for your
information.
*Teach Flu A Lesson Vaccine Consent Form (attached)
This required form contains
contact information and asks questions about your child’s health status and
history. It gives permission for your child to receive the flu mist vaccine and
authorizes insurance payment. No student will be vaccinated without signed
consent. Complete the Consent Form and turn it in to your child’s school
nurse by September 25. If you have any questions or concerns,
please feel free to call your school nurse.
Vaccine Information for Flu Mist (attached) –This is for your information.
TEACH FLU A LESSON SCHEDULE (for all
other insurance or students no insurance)
|
School
|
Date
|
Turn in forms by:
|
|
Hewitt Trussville Middle
|
10/2/2014
|
9/25/2014
|
|
Paine Intermediate
|
10/2/2014
|
9/25/2014
|
|
Paine Primary
|
10/2/2014
|
9/25/2014
|
|
Hewitt Trussville High
|
10/2/2014
|
9/25/2014
|
Tresia Mize, RN
School Nurse
Paine Intermediate
205-228-3314
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