Clinic Forms

We know your time is valuable. That’s why we at the Jackson County Health Department are working to make our process as streamlined and efficient as ever. If you want to dramatically shorten your next appointment, just follow these simple steps:

FOR ADULT & CHILD IMMUNIZATIONS

  1. Print out the Clinic Registration Form and the Immunization Screening Questionnaire.
  2. Fill out both forms.
  3. Bring completed forms to your clinic appointment.

FOR INFLUENZA IMMUNIZATIONS

  1. Print out the Influenza Vaccination Screening Form.
  2. Fill out the form.
  3. Bring completed forms to your clinic appointment.

That’s it! Just these simple steps can make all the difference. Don’t forget to bring your insurance card and a copy of your immunization records (if applicable)!