FluClinic Tool Kit

FluClinic Tool Kit

Wellness & Vaccinations 

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, Blue Cross and Blue Shield, Cigna, Coventry, Essence, HealthLink, Humana, Medicare Part B, United Healthcare and Vaccine for Children (Home State and HCUSA). Please have your insurance card available at your scheduled appointment.

2020 Flu Consent Form

Age 18 and Older


2020 Flu High Dose Consent Form

Age 65 Years and Older


Vaccine Information Statement Influenza 


2020 Flu Consent Form

Age 3 to 17 Years Old


2020 Flu Preservative Free Consent Form

Age 6 Months and Older



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.