Flu Vaccination Clinics

Clinic Information



September 2018

Dear Parents,

In preparation for the upcoming flu season – and an effort to reduce the incidence of flu in our community, Andover Public Schools is collaborating with the Andover Health Department to provide flu vaccine to all students in Grade 1 through Grade 12.

Your child must be currently enrolled in the school in order to receive vaccine

For students in elementary schools (Grade 1-5) ONLY flu mist will be offered.  

For students in middle and high school grades, flu mist and injection are both available. 

• Please review the Vaccine Information Statements for the nasal mist and injection. (VIS)

If your child is in Elementary School - Grades 1-5 only

  1. Read the Flumist VIS
  2. Print the School Screening Form for Nasal Spray
  3. Print the Flu Insurance and Screening Form
  4. Complete and sign both forms and send to your child’s school nurse by the deadline

If your child is in Middle or High School

  1. Read the Flumist VIS and Flu shot VIS
  2. If your child wishes to receive the Flumist – print and complete this form AND the Flu Insurance and Screening Form
  3. If your child wishes to receive the injection – only print and sign the Flu Insurance and Screening Form
  4. Send the form(s) to your child’s school nurse by the deadline

Complete and sign both forms and send to the school nurse by the designated deadline. Late forms will only be honored if adequate vaccine is available.

It is important that parents review the Vaccine Information Statements. Some students may not be eligible for vaccine based on medical history.

You are NOT required to submit payment for the vaccine. The Town of Andover will bill your insurance company directly.  Lack of medical coverage will not prevent your child from receiving the vaccine.

If your child is unable to attend the flu clinic on the date that has been assigned for his/her school, the Town of Andover will be offering a community family flu clinic on

Thursday November 8th 4pm-7pm at the Senior Center for individuals 2yrs of age and older.

Questions may be directed to :

• Joanne Martel RN, Asst. Director Andover Health Department (978) 623-8640

• Rita Casper RN, Director of Nursing, (978) 247-7055


Flu Clinic Dates

School Date of Clinic Deadline for forms to be submitted to Clinic
Doherty Middle Wednesday, October 10 Friday, October 5
West Middle and Sanborn Elementary Thursday, October 11 by 9am; Tuesday, October 9
Andover High School Tuesday, October 16 Thursday, October 11
South Elementary Wednesday, October 17 by 9am; Monday, October 15
Wood Hill Middle and
High Plain Elementary
 Thursday,October 18  Monday, October 15
Bancroft Elementary Tuesday, October 23  by 9am, Friday, October 19
West Elementary Wednesday, October 24 Friday, October 19

Flu Information

Insurance / Consent Form

Flumist Information Statement

School Screening for Nasal Spray

Injection Vaccine Information Statement

The Flu Guide for Parents