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Lyon County Health Department

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420 West 15th Avenue*Emporia, KS * 620. 342.4864

Medical Records Request Fax Number * 620.342.6555

 

 

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English

H1N1 Consent Form In English

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VIS Vaccine Information Statement VIS) Form

The Public Health Department will be giving H1N1 vaccinations on an appointment basis on Monday, Wednesdays and Fridays.

 

The following is a list of providers who have signed up with the Lyon County Health Department to participate in the H1N1 Vaccinations.

  • The Medicine Shoppe will be vaccinating adults 18-years-old and up.
  • Walgreens will be vaccinating adults 18-years-old and up.
  • The Medical Arts Clinic will only be vaccinating their patients. There will be an administration fee.
  • Dorsey Surgical Associates will be vaccinating anyone who qualifies and schedules an appointment. There will be an administration fee.
  • Emporia State University will be vaccinating their students and qualifying employees.


 

 

A story in the Wichita Eagle on the importance
of the H1N1 vaccination

 

 

 

 


Español

H1N1 Forma de Consentimiento en Español

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DOCUMENTACION DE LAS VACUNAS/FORMULARIO
PARA EL CONSENTIMIENTO

El Departamento de Salud Publica estará vacunando contra el virus
H1N1 por cita solamente los días Lunes, Miércoles y Viernes.

 

Noticia de Última Hora

La siguiente es una lista de proveedores que se han inscrito con el Centro de Salud del Condado de Lyon para participar con vacunaciones de H1N1.
• La “Medicine Shop” estará vacunando adultos
de 18 años y mayores.
• “Walgreens” estará vacunando
adultos de 18 años y mayores.
• “Medical Arts Clinic” sólo vacunara
a sus propios pacientes.  
Habrá un cobro de administración.
• “Dorsey Surgical Assoicates” estarán vacunando cualquier persona que califica y haga una cita.  
Habrá un cobro de administración.

• “La Universidad de Emporia”  estará vacunando sus estudiantes y a cual quier empleado que califique.

HIPAA Privacy Statement (Spanish)

 

Informational Links

Kansas Department of Health and Environment

Centers for Disease Control and Prevention

 

 
   

 

 

 

 

 

 

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