FluClinic Tool Kit

Thank you for choosing us as your FluClinic partner! We are delighted to be of service to your organization.

Below you will find required documents and information to make your organization's FluClinic a success! In order to encourage 100% participation in your vaccination program, we recommend the following: 

• Promote your clinic 3-4 weeks in advance

• Provide frequent reminders via  posters, emails, texts, and voicemails

• Use a raffle or other incentive to encourage clinic participation 

• Provide access to information about the Influenza

• Delegate an individual to promote the FluClinic to others

• Download additional resources like videos, web tools and mobile content at www.cdc.gov to support your clinic

• Consider adding a VNA wellness screen to your clinic

Required Patient Documents

Please note that accepted health insurance providers include: Aetna, Anthem - Blue Cross and Blue Shield, Cigna, Coventry, Essence, HealthLink, Humana, United Healthcare

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Medicare Plans: Medicare Part B, Anthem Blue Cross & Blue Shield Advantage HMO & PPO, Essence

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Medicare Advantage Plans  PPO ONLY - NO HMO: Aetna, Cigna Medicare Access; Coventry; HealthLink; Humana

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Missouri Medicaid for 18 Years & Younger: Home State Health, Missouri Care, United HealthCare Community Plans, Health Blue

Please have your insurance card available at your scheduled appointment.

2021 Flu Consent Form

Age 18 and Older

2021 Flu High Dose Consent Form

Age 65 Years and Older

Vaccine Information Statement Influenza 

2021 Flu Consent Form

Age 3 to 17 Years Old

2021 Flu Preservative Free Consent Form

Age 6 Months and Older

2021
Accepted Insurances

Vaccination Clinic Information & Promotion Material 

Stay Healthy for What Matters Poster - 8.5"X11"

Fight the Flu CDC Flyer

Influenza is Serious Flyer

No Excuses CDC Flyer

For more Flu information and promotional materials, please visit the Center for Disease Control.