• Home
• CORONAVIRUS (COVID-19)
• 2022 Flu

  • Clinic Schedule
  • Adult Vaccination Forms
  • Child Vaccination Forms
• Emergency Preparedness / Medical Reserve Corps (MRC)
  • Medical Reserve Corps
    • MRC Application
    • TRAIN
  • Disaster Preparedness
• Submit Comments & Suggestions
• Job Openings & Application
• Food Inspections
• IPLAN
• Administration
  • Board of Health
    • Minutes
  • Budget
  • Corporate Compliance
  • Agency Overview
• Public Health
  • Adult Immunizations
  • Flu
    • Required Forms
  • Illinois Tobacco Free Communities
  • Diabetes Program
  • Vision & Hearing
  • Addiction Prevention
  • Blood Pressure Clinics
  • IPLAN
• Behavioral Health
  • Forms
    • Adult Forms
    • Child Forms
  • Mental Health
  • Crisis Services
  • Psychiatric & Psychological Services
  • Substance Use Disorder Counseling
  • Psychosocial Rehabilitation
  • DUI Services
  • Domestic Violence
• Elder Services
  • Comprehensive Care Coordination
  • Community Care Program (Homemaker)
  • Emergency Home Response System
  • Information & Assistance
  • Senior Health Assistance Program
  • Adult Protective Services
  • Family Caregiver Program
  • Blood Pressure Clinics
• Substance Use Prevention Program
• Environmental Health
  • Food Inspections
  • Food Sanitation Program
    • Food Inspections
    • Food Service Sanitation Ordinance
  • Private Sewage Program
    • Permit Application
    • Contractor Registration Application
    • Private Sewage Ordinance
  • Private Water Program
  • Nuisance Control
  • Vector Control
  • Tanning Facility Program
  • Radon
• Maternal Child Health
  • WIC
    • Breastfeeding
    • WIC Formula & Medical Nutritional Prescriptions Form
  • Children's Immunizations
    • Clinic Schedule
    • Forms
  • Family Case Management
  • Genetics Program
  • Brochure
• Illinois Breast & Cervical Cancer Program
  • Enrollment Forms
• Notice of Privacy Practices
• Anuncio de la Practica Privada

 

Flu

2022-23 Flu Vaccine Required Forms

Updated Children's flu forms and information for the 22-23 flu season will be posted when available.

Children

• Children's Flu Forms (Please complete all 4 forms)
• Inactivated Influenza Vaccine "What You Need to Know" Informational Flyer

Adults

• Adult Vaccine Administration Record Form
• Inactivated Influenza Vaccine "What You Need to Know" Informational Flyer

 

MCHD is an Equal Opportunity Employer & Provider

Corporate Compliance

About Us

Contact Us