H1N1 Vaccination Consent Forms
Save time! Fill out your consent form in advance and bring it with you to the clinic!

-English consent form (Word) (PDF) and vaccine info sheets Download
-Spanish consent form (Word) (PDF) and vaccine info sheets Download
-Chinese consent form (Word) (PDF) and vaccine info sheets Download
-Vietnamese consent form (Word) (PDF) and vaccine info sheets Download
-Hmong consent form (Word) (PDF) and vaccine info sheets Download
-Russian consent form (Word) (PDF) and vaccine info sheets Download
-Arabic consent form (Word) (PDF) and vaccine info sheets Download
-Mien consent form (Word) (PDF)

Sacramento County Public Health has ended its series of 35 free H1N1 vaccination clinics that began November 16, but the H1N1 flu is still with us and many medical experts are concerned about a third wave of the flu. Vaccine is plentiful, and we encourage everyone to be vaccinated. Check with your healthcare provider.

Sacramento County Public Health hopes to open a fixed location for walk-in vaccinations. Watch for news. You can also follow us on Twitter to be advised of developments. 

Interactive Map

The map below shows the locations of all of the H1N1 clinics we conducted.