Protect your child against the flu with a free flu shot at one of Lehigh Valley Health Network’s (LVHN) pediatric flu shot clinics. The clinic is open to all children over the age of six months. You don’t need to be an LVHN patient, and no appointment is required. We will also have a limited supply of adult vaccines and high dose vaccines for those over 65.

Sunday, Nov. 20 | 8 a.m.-12 noon

Health Center at Lehigh Valley Hospital–Carbon
First Floor Conference Rooms
2226 Blakeslee Blvd. Drive E.
Lehighton, Pa.

Complete a consent form

In order to receive your free flu vaccination, complete and print a consent form for each person being vaccinated and review the vaccine information sheet.

English flu vaccine consent form and vaccine information sheet

Formulario de consentimiento de vacuna contra la influenza y hoja de información sobre la vacuna

To type your answers into this interactive consent form, you may need to download the form to a desktop or laptop computer. Typing your answers will help ensure that we'll be able to read and understand your information.