Health Sciences Division
Flu Shots for Fall 2016 and Spring 2017

Deadline for Fall 2016 Flu Shots is October 21st at 5:00 p.m.

To protect patients and provide a safe environment for students, staff, and the public, all students/faculty participating in clinical/practicum experiences/courses in any facility during the Fall 2016 and Spring 2017 semester will be required to provide documentation of the current seasonal flu vaccine. Failure to have the immunization may have implications for clinical attendance.

Students/faculty will be required to present formal, original documentation of immunization (including receipt).

One of the following forms of documentation is acceptable and must be signed by the healthcare provider administering:

  • Letter (on official letterhead) from the healthcare provider, pharmacy or clinic that issued the vaccination.
  • Copy of immunization record showing student/faculty name as having received the vaccine.

Please make sure the following information is included:

  • Lot number
  • Expiration Date
  • Vaccine Received with site of administration (examples below):
    • 0.5 mL IM Influenze Virus Vaccine given in ____left ____ right deltoid--TIV or QIV
    • 0.5 mL IM Influenze HIGH Dose Virus Vaccine given in ____ left ____ right deltoid (65+) TIV-SR
    • 0.2 mL Live Attenuated influenza Virus Vaccine given intranasally (half each nostril)
    • 0.5 mL Intradermal Virus Vaccine site ___________________________-TIV
    • 0.5 mL FluBlok Influenze Virus Vaccine given in ____ left ____ right deltoid

Please note that even if the flu vaccine is received in a "public" clinic, the information on the form must be completed in order to meet the clinical agency requirements. Students/faculty are responsible for keeping their personal vaccine records until further instructions are provided. You may use the Vaccine record below, but must have your receipt for proof/documentation. If you rotate to multiple agencies withint he same semester, you may be providing the documentation at each agency.

Please note: If you receive the nasal flu vaccine (LAIV), inform your healthcare provider before receiving the TB skin test due to timing issues.

Students are not to give the record to their clinical instructor at this time. If you receive a receipt when you get the flu vaccine, please attach a copy to the Flu Vaccine Record.


Below is the schedule for Austin/Travis County Health and Human Services Department. You may also contact your physician or other retail facilities offering flu vaccine (HEB, CVS, Walgreens, etc). Many are offering free or reduced shots to certain populations.

Williamson County Health Department Public Health Center Information --