Flu Vaccine

If you would like your child to receive the flu vaccine, please contact your child's school nurse before November 8th and make an appointment. Please go to the Belchertown Public Schools web site and review the vaccine information sheet. Please download the parental permission form and the insurance form and bring the completed forms with you to the health office. Please have your child wear a short sleeved shirt for easier administration. Parents do need to be at the clinic with their children in grades K-6.

We are piloting a new program this year for students in grades 7-12. If you would like your child to receive their flu shot at school, please contact your child’s school nurse by November 8th. Before administering the vaccine we will need all paperwork which consists of parental permission and the insurance form which also includes copying your insurance card (front and back). These forms may be downloaded from the Belchertown Public Schools web site or from the direct links below.   If you have any questions, please contact your child’s school nurse.


Flu Immunization Forms

Please download and print all of these forms (in PDF format), fill them in with your student's information, and bring them with you to the flu clinic.