Polk County Public Schools

Departments In This Division

School Based Operations Division

H1N1 Influenza (Swine Flu) Immunization

The following forms provide comprehensive information on the vaccination opportunity offered by the Polk County Health Department.

Elementary Parent Permission Form (English)
- Spanish
- Haitian-Creole
Middle & High School Parent Permission Form (English)
- Spanish
- Haitian-Creole
Letter to Parents (English)
- Spanish
- Haitian-Creole
Flu Shot Handout (English)
- Spanish
- Haitian-Creole
Flu Mist Handout (English)
- Spanish
- Haitian-Creole
Vaccination Schedule by Dates
Alphabetical List of Schools Vaccination Schedule

Administration

Dr. Bruce Tonjes
Associate Superintendent

Carol Harrell
Administrative Secretary
863-534-0521 - 51341