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MaineFlu Home > School-Based Vaccine Clinics

School-Based Vaccine Clinics

The purpose of this Toolkit is to provide information related to influenza and conducting immunization clinics. The following information and links to information should enable a successful clinic to be conducted.

Influenza Phone Bank number: 1-888-257-0990
Deaf and Hard of Hearing phone number: 1-800-606-0215
Influenza Phone Bank Hours: 9 AM – 5 PM 
Or send e-mails to flu.questions@maine.gov

Frequently Asked Questions (FAQs)

Links for Health Care Providers

If you are a school working with a health care provider, our Health Care Provider page has all of the information you need for vaccination clinics. If your school district is ordering its own vaccine (and therefore acting as health care provider for the clinic), please see Health Care Provider page.

Important Forms for School-Based Vaccine Clinics

Form Word* PDF*

Forms to give parents for H1N1 vaccine clinics

H1N1 vaccine letter to parents NA PDF
H1N1 vaccine permission form Word PDF
H1N1 intransal VIS NA PDF
H1N1 injectable VIS NA PDF
 

Standing Orders/Anaphylaxis Protocols

Seasonal Flu NA PDF
H1N1 Flu NA PDF
 

School absentee reporting

Directions Word PDF
Reporting form Word PDF
Tracking form Word PDF
 

H1N1 school-located vaccine clinic funding request forms

K-12 schools Word PDF
Colleges Word PDF
 

Forms to give to parents for seasonal flu vaccine clinics

Intranasal VIS NA PDF
Injectable VIS NA PDF
Intransal consent form Word PDF
Intransal consent form in Spanish Word PDF
Injectable consent form Word PDF
Injectable consent form in Spanish Word PDF

Clinic Readiness

H1N1 Clinic Readiness Checklist Word PDF

*free viewer or to request a hard copy