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Parent Consent Form

** If you are under the age of 18, parental consent is required to receive immunization services.

For the 2010-2011 Flu Vaccine

  • Please have your parents review the Vaccine Information Statement.
  • Consent forms can be printed and faxed to the Student Health Center's Health Information Department at 512.245.9288.
  • Please schedule your flu appointment by calling 512.245.2161.
  • The consent form MUST be received before your appointment.

For All Other Immunizations