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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 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 (NO EPO's), Cigna (NO EPO's), Coventry, Essence, HealthLink, Humana, United Healthcare - including AllsSavers, GoldenRule, UMR & GEHA

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

Medicare Advantage Plans  PPO ONLY - NO HMO:  Aetna, Cigna Medicare Access, Coventry, HealthLink, Humana, United HealthCare - including PPO AARP

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


VNA cannot accept Medicaid plans for those over the age of 18.

Please have your insurance card available at your scheduled appointment.

2023 Flu Consent Form

Age 18 and Older


2023 Flu High Dose Consent Form

Age 65 Years and Older


Vaccine Information Statement Influenza 


2023 Flu Consent Form

Age 3 to 17 Years Old


2023 Flu Preservative Free Consent Form

Age 6 Months and Older


Vaccination Clinic Information & Promotion Material 

Stay Healthy for What Matters Poster - 8.5"X11"


Influenza is Serious Flyer


Fight the Flu CDC Flyer


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