MISSED INFLUENZA VACCINATION

Child’s Name: DOB: Class:

We were unable to vaccinate the above named child in school today because they:

Were absent Were unwell Refused on from school ☐ on the day ☐ the day ☐ Had an ☐ Did not return ☐ Other ☐ incomplete form a consent form …………………….

Please bring this letter to the clinic with you. The child must be accompanied by an adult. Unless stated, it is not necessary to book an appointment however, due to the nature of these clinics there may be a wait.

Designed by Thomas, Year 6, Polegate Primary School

If you would like your child to receive the indicated missed vaccination but are unable to attend any of the clinic dates advertised, please contact your local Immunisation Team for further information.

01273 696011 Brighton Crawley East Ext. 3789 Ext. 8100 Ext. 2043 Ext. 2080

BEXHILL Sidley Childrens Centre, Community Centre, 121 Ninfield Road, Bexhill-on-Sea TN39 5BD For appointment please call 01273 696011 ext. 2080 DATE TIME / ROOM CLINIC TYPE Monday 16th December 14:00 – 16:00 full - waiting list BRIGHTON Children & Family Clinic, Dyke Building, Brighton General Hospital, Elm Grove, BN2 3EW For appointment only clinics, please call 01273 696011 ext. 3789 DATE TIME / ROOM CLINIC TYPE Wednesday 18th December 14:00 – 16:00 Appointment only Monday 23rd December 10:00 – 15:00 Drop in Friday 3rd January 10:00 – 16:00 Appointment only Thursday 16th January 15:00 – 16:30 Appointment only CHAILEY Chailey Clinical Services, Beggars Wood Road, North Chailey BN8 4JN DATE TIME / ROOM CLINIC TYPE Friday 24th January 14:00 – 16:00 Clinic Room 3 Drop in CHICHESTER Centre, 28 – 29 Westhampnett Road, Chichester PO19 7HH DATE TIME / ROOM CLINIC TYPE Wednesday 15th January 15:00 – 16:00 Drop in CRAWLEY Planned Treatment Area, 4th Floor, Crawley Hospital, West Green Drive, Crawley RH11 7DH DATE TIME / ROOM CLINIC TYPE Friday 20th December 14:30 – 16:00 Drop in Wednesday 8th January 13:30 – 16:00 Drop in DURRINGTON Durrington Health Centre, Durrington Lane, Worthing BN13 2RX For appointment please call 01273 696011 ext. 3789 DATE TIME / ROOM CLINIC TYPE Monday 16th December 14:00 – 16:00 Appointment only Monday 6th January 08:00 – 09:00 & 14:00 – 16:30 Appointment only EASTBOURNE Shine Water Children’s Centre, Milfoil Drive, Eastbourne BN23 8ED For appointment please call 01273 696011 ext. 2080 DATE TIME / ROOM CLINIC TYPE Tuesday 17th December 14:30 – 16:00 full - waiting list Friday 3rd January 09:30 – 15:00 Appointment only Tuesday 18th February 09:30 - 15:00 Appointment only Midhurst Library Room, The Grange Community & Leisure Centre, Road, Midhurst GU29 9HD DATE TIME / ROOM CLINIC TYPE Tuesday 17th December 15:30 – 17:00 Willow Room Drop in SHOREHAM Kingston Buci Children & Families Centre, Middle Road, Shoreham BN43 6GA For appointment only clinics, please call 01273 696011 ext. 3789 DATE TIME / ROOM CLINIC TYPE Thursday 2nd January 09:30 – 13:30 Shrimp Room Appointment only