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FREE FLU SHOTS 

Pontotoc County Health Department and Chickasaw Nation will be teaming together for the second year in a row to provide flu shots free of charge to Native AND Non-Native students on October 23rd for Homer and Francis and October 24th for the Byng Campus.  

Click the links below to view and print permission form and flu vaccine information sheet. 

Permission forms are also available in the office to pick up.  Students must return the consent form by the morning of vaccination date below to receive the immunization.  We will be unable to immunize anyone under the age of 18 without a completed consent form.  Only injectable flu vaccine will be provided. Nasal mist will not be available. If students are not cooperative, the vaccine will not be administered.  Parents or guardians are welcome to be in attendance.  If you have any questions feel free to contact the Pontotoc County Health Department at 580-332-2011 or your school nurse at 580-310-6782.

**Permission Form **  ** Vaccine Information Sheet **

 

Monday, Oct. 23rd

Homer 9:00 a.m. to 11:00 a.m.

Francis 1:00 p.m. to 2:30 p.m.

 

Tuesday, Oct. 24th

Elementary, Junior High and High School 9:00 a.m. to 2:30 p.m.

 

** Print, Fill-out, Sign and Send this Permission Slip **

** Vaccine Information Sheet **

FUNDRAISER PICK UP DAY

MONDAY, OCTOBER 23

2:30-5:15    Old Gym

       October 18-20

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Homer Elementary
1400 N. Monte Vista
Ada, Oklahoma 74820
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Phone: 580-559-0200

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