Salt Lake City School District Nurses may provide immunizations at school. If you are interested in having your student immunized at school, follow the instructions below. 

• If your student is uninsured, has Medicaid, CHIP, or is an American Indian/Alaskan Native:
  • Complete Form #1 - English | Form #1 - Spanish
• If your student has any of the following insurance plans - Aetna, Select Health, PEHP, Cigna, United Health Care, or EMI or Blue Cross Blue shield:
  • Complete Form #2 - English | Form #2 - Spanish. Carefully review the listed insurance plans at the top of form 2 to make sure that your insurance is accepted. 
• Take a copy of your insurance card, with the completed paperwork above, and your student’s immunization card (if available) to your school secretary. 
• If your student does not meet any of the above criteria:
  • You may have them vaccinated by your health care provider, local health department, pharmacy, or community clinic.