Flu Vaccine

The Belchertown Public School Health Department will be holding a flu vaccine clinic on Thursday, November 8th for students in grades K-12 from 3:00-4:30.  We have a limited supply of the vaccine. The clinic will be held at Belchertown High School Cafeteria. Please go to the Belchertown Public Schools web site and review the vaccine information sheet, which is included in the download with the forms.  Please download the parental permission form and the insurance form and bring the completed forms with you to the clinic.  Please have your child wear a short sleeved shirt for easier administration. Parents do need to be at the clinic with their children.


We are continuing the 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 5th. 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). You may also send your child to the afterschool clinic if you prefer. If you have any questions, please contact your child’s school nurse.  



Procedure for Forms

  1. Download forms here (in PDF format) and print all of them;
  2. Then fill them out with your student's information;
  3. Bring them with you to the flu clinic.