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2009 H1N1 Forms

Download the H1N1 Consent Form, fill it out and bring it with you to the Flu Clinic to save time.

Read/Download H1N1 Nasal Spray Vaccine Information Statement (VIS)

Read/Download H1N1 Shot Vaccine Information Statement (VIS)

Read/Download Notice of Privacy Pratices

Notice of Privacy Pratices

Download 08_KALHD_revised_Notice_of_Privacy_Practices.pdf

2009 H1N1 Nasal Spray VIS

Download H1N1_LAIV_VIS.pdf

2009 H1N1 Flu Shot VIS

Download H1N1_Inact_VIS.pdf

Consent Form

Download KS_H1N1_Consent_Form_final_1.pdf




|Welcome| |H1N1 Vaccine| |Download| |H1N1 Flu Info.| |Weather Tips| |Immunization Clinics| |Clinics| |Healthy Start | |WIC| |Environmental Program| |Family Planning| |Child Care Licensing| |Point of Dispensing| |Emergency Prepardness| |Other Services| |Internet Links| |Directions|