Flu & Pneumonia Clinic Information – Coles County

Individuals may contact the Coles County Health Department
to schedule an appointment at 348-0530

Pneumonia vaccine will be available for $40.00. Medicare and Medicaid will be accepted.
Please bring your Medicaid and Medicare cards with you.

Cost
  $30.00 adult flu
 $8.00 child flu (up to 18 years) No child will be turned away due to inability to pay.
$40.00 pneumonia

Influenza (Adult / Child) Forms can be downloaded, completed, and brought to clinic.

Pneumonia Forms can be downloaded, completed, and brought to clinic.

Call for more information
Contact: Janie
(217) 348-0530
Fax: (217) 348-5321

Adult Flu Forms (19 years and older)

• Adult Flu Form (pdf) Complete and bring to clinic
• Vaccine Information Sheet (pdf)
• Joint Notice (pdf)

Child Flu Forms (6 months - 18 years)  -

Traditional Flu "shot"

• Child flu form INACTIVATED (pdf) Complete and bring to clinic
• Vaccine Information Sheet INACTIVATED (pdf)
• Joint Notice (pdf)
• Patient Eligibility Screening Record (pdf) Complete and bring to clinic

Nasal Mist

• Child flu form  ACTIVATED (pdf) Complete and bring to clinic
• Vaccine Information Sheet ACTIVATED (pdf)
• Joint Notice (pdf)
• Patient Eligibility Screening Record (pdf) Complete and bring to clinic

Pneumonia

• Pneumococcal form (pdf) Complete and bring to clinic
• Vaccine Information sheet (pdf)
• Joint Notice (pdf)

Centers for Disease Control & Prevention - Influenza Key Facts

Flu Bug U 30-second Video PSA (.wmv)
The Kansas Department of Health and Environment