Immunization Clinic Forms

Immunization Clinic Information & Permission Forms

GWAHCA in partnership with Ascension Providence will host a imminuzation clinic for all GWAHCA students. The date for in-person students is September 22 (9-3 at GWAHCA) and September 23 (8-11:30 at GWAHCA) for remote students. The clinic will allow students to get a drug screen, TB skin test and flu shot at no cost in order to be in complaince with program requirements. Please note, participation is voluntary. If a student chooses to participate, they must have a permission form signed (by parent/guardian if not 18) for each service they want to participate in. Please note that only GWAHCA students will be allowed in the building to participate in the event. 

Link to Immunization Clinic Permission Forms