All-Island Flu Immunization Clinic
Monday, November 12th 2007
9 am – 1 pm
Please arrive no later than 12:30 pm to assure timely processing
at the
Martha’s Vineyard Regional High School Gymnasium
This is the only TOWN-SPONSORED clinic being held this year. ~
You should attend this clinic if you: are 50 years of age or older; have a chronic medical condition currently being treated by a physician; will be pregnant during the flu season; or if you are a health care worker or a first responder with direct patient contact
Please complete the attached form and bring it with you to the Flu Clinic
General Directions:
w Fill out Parts 1 & 2 on the front of the form. ~
w Medicare Part B covers the cost of these vaccines and will be billed for this service. ~Fill in your Medicare number on the form. ~Remember to bring your Medicare card with you to the Clinic.
w If you have private health insurance provide that information and we will bill them if possible. Remember to bring your insurance card with you to the Clinic.*
w If you do not have any health insurance you will still be immunized.*
w Complete the Screening Questionnaire on the back of the form
w We will provide your island doctor or clinic a copy of this form as official documentation of the vaccine given to you.
w Wear a short-sleeved shirt to the clinic.
Parking & Transportation:
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Those with mobility concerns will be directed to park in back of the High School.
Everyone else will park and enter at the Performing Arts Center.
This Clinic is sponsored by: Aquinnah, Chilmark, Edgartown, Oak Bluffs, Tisbury & West Tisbury Boards of Health; Martha’s Vineyard Community Hospital; Vineyard Nursing Association; Visiting Nurse Service of MV Community Services; Wampanoag Tribal Health Services; Martha’s Vineyard Medical Reserve Corps
With support from: Edgartown, Oak Bluffs, Tisbury and Up-Island Councils on Aging; Oak Bluffs Police Department; All-Island EMT’s; Rotary Club of Martha’s Vineyard; Martha’s Vineyard Regional High School
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