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PEEHIP Student Flu Vaccine

PEEHIP Wellness Clinic


The PEEHIP Wellness Clinic offers flu vaccines for students with PEEHIP Blue Cross and Blue Shield Insurance.


The Alabama Department of Public Health will offer the flu shot vaccine to students ages PreK (4-years) through 12th grade who have PEEHIP Insurance (BC/BS insurance number that begins with EDU). This school vaccination program is voluntary and parents must complete the attached permission form and return the form to the school nurse one week before the school clinic.   


Click here for an LCSS Wellness Fall School Schedule to participate in the PEEHIP Wellness Clinic vaccination program.


Click here or the PEEHIP Student Flu Permission Form.


The permission form must be completed and return to the school nurse one week before the school clinic.


Parent Reminders for filling out flu vaccination permission form:

  1. Use black ink only!
  2. Make sure all boxes are filled out correctly. 
  3. Under patient information make sure to put the last four digits of the Social Security Number for the child receiving the vaccine—not the parent's number.
  4. Answer all of the yes/no questions. 
  5. Sign and date the form. We cannot give the vaccine without a signature. 

Forms must be original and turned into the Alabama Department of Public Health Vaccination team by the school nurse on the day of the clinic. We cannot accept emailed or faxed copies. Must have that original signature.