RITE AID Flu Clinic at KU Human Resources

A Flu Clinic will be held at Human Resources (Kemp Building) on October 9, 2013 between 9:00 am and 3:00 pm. Flu vaccines will be administered by Rite Aid Pharmacy. In order to maintain the sufficient amount of supplies throughout the day, we are asking the participants to register for this event. This is a walk-in clinic; appointment times will not be scheduled. Vaccines will be administered on a first-come, first serve basis. Vaccines are subject to health plan availability as listed on the HR website. Self-pay option is available at a cost of $25.

Vaccine Information Statement 2013-2014

Flu Clinic Checklist

Please have the following documents ready prior to your turn. NOTE: The links on this form might not work with Firefox. If you are experiencing this problem, try IE or Chrome.

1) Bring your health insurance card - PEBTF members should bring their CVS Caremark Card.
2) Self-Pay - Bring cash or check payable to Rite Aid in the amount of $25.
3) Complete, print and sign the Rite Aid Flu Vaccine Consent Form and bring with you for vaccine.
What is your name?
What is your Kutztown University email address?
You have successfully registered for the flu clinic when you see the confirmation screen after you submit this form. This screen is your registration confirmation. An email confirmation will NOT be sent to you after you registered.

Best Regards,
Human Resources