2026 School Nurse Outreach

School Scheduling

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This field is for validation purposes and should be left unchanged.

Which description best fits your role:(Required)

I am in charge of a K-12 school district or school corporation.

I am the nurse in charge of a single K-12 school.

I am the nurse or representative for a college or university.

Other

School District:(Required)

School Name:(Required)

District Nurses, if you are also in charge of (or stationed at) an individual school, please specify which school.

Your Name(Required)

First Last

Phone(Required)

Email(Required)

Preferred method of communication(Required)

Phone

Both

School or District Address(Required)

Street Address Address Line 2 City State ZIP Code

Type of clinic interested in (select all that apply):(Required)

Spring Compliance Vaccines

School Registration

Health Fair Informational Booth

In-School Fall FluMist for Students

In-School Vaccines for Staff

We see ALL students & Staff, regardless of their insurance status or their ability to pay. For those commercially insured, they also save money from co-pays as we do not collect copays for our Outreach Clinics. Staff Clinics can be scheduled on development days or held before/after school hours.

In-School Flu Date(s) interested in:(Required)

2026 In-School Flu registration dates start October 1st, 2026. Please pick up to 3 dates (or date Ranges) for us to review. The earlier your request is received, the greater our availability is. Thank you!

Physical School Registration Dates and Times:(Required)

Super Shot can be present to catch students up who are behind, make sure that students entering grades K, 5, & 12 remain up to date, check vaccine records to assist school nurses, and provide information for parents and students.

I would like to request a Spring Clinic or learn more about in School Compliance Clinics:(Required)

Yes

What are the prefered dates and times for a spring clinic?(Required)

In-School Compliance clinics are a convenient option for parents to bypass the need for missing work or school. We see ALL students, regardless of their insurance status or their ability to pay. For those commercially insured, they also save money from co-pays as we do not collect copays for our Outreach Clinics.

I am interested in the folowing educational materials:(Required)

AAP Recommended Vaccine Schedule

Indiana Required vs. Recommended School Vaccines

Specific Vaccine/Immunization Information

Super Shot Hobson Rd Clinic Information

Super Shot Services for School Nurses

In School Clinic Information

CHIRP Support Services

If you would like materials not listed above, please specify the immunization related materials you would like below in the details/questions section.

Any additional details or questions:

If there is anything vaccine related that you find to be a challenging facet of your position, please let us know and we can help! If there is a specific material type that doesn't exist yet, let us know and we are happy to brainstorm and create supportive material to ease your path! My direct contact information is Ashley.Plunkett@supershot.org Thank you for being a partner in preventing illness in Indiana!

School Scheduling

Comments

This field is for validation purposes and should be left unchanged.

Which description best fits your role:(Required)

I am in charge of a K-12 school district or school corporation.

I am the nurse in charge of a single K-12 school.

I am the nurse or representative for a college or university.

Other

School District:(Required)

School Name:(Required)

District Nurses, if you are also in charge of (or stationed at) an individual school, please specify which school.

Your Name(Required)

First Last

Phone(Required)

Email(Required)

Preferred method of communication(Required)

Phone

Both

School or District Address(Required)

Street Address Address Line 2 City State ZIP Code

Type of clinic interested in (select all that apply):(Required)

Spring Compliance Vaccines

School Registration

Health Fair Informational Booth

In-School Fall FluMist for Students

In-School Vaccines for Staff

In-School Flu Date(s) interested in:(Required)

Physical School Registration Dates and Times:(Required)

I would like to request a Spring Clinic or learn more about in School Compliance Clinics:(Required)

Yes

What are the prefered dates and times for a spring clinic?(Required)

I am interested in the folowing educational materials:(Required)

AAP Recommended Vaccine Schedule

Indiana Required vs. Recommended School Vaccines

Specific Vaccine/Immunization Information

Super Shot Hobson Rd Clinic Information

Super Shot Services for School Nurses

In School Clinic Information

CHIRP Support Services

If you would like materials not listed above, please specify the immunization related materials you would like below in the details/questions section.

Any additional details or questions:

School Scheduling

School Scheduling

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