Smore logo
remove_red_eye 454
page background

Longfellow COVID Vaccination Clinic

Longfellow COVIDVaccination Clinic
zoom_out_map

Longfellow School will be having a COVID Pfizer vaccination clinic on Thursday, 11/18/21, with second doses on Thursday, 12/16/21. We will be partnering with Northern Light Home Care & Hospice to provide this clinic to our students.


Please click on the link below and complete the consent form by Wednesday 11/17/21 at noon. You must type something into all highlighted fields, so please use NA if it doesn’t apply. Although the vaccine is provided at no charge, there is a cost to administer the vaccine. We appreciate it if you include accurate insurance information. Children presenting with an incomplete form will not receive their vaccine. There is no out of pocket cost and those without insurance will be vaccinated with the appropriate form completed. You will be notified if there is a change in the planned dates of school COVID clinics.


Longfellow Vaccine Consent Form


  • The Vaccine Safety Sheets will be sent to your email. Please take a minute to read these.

  • 2nd doses will take place 28 days later.

  • If you need a translated form or are unable to complete an electronic form, please let the school nurse know and we will send a paper form home.


*This clinic is only for students aged 5-11. We cannot vaccinate students who are older than 11.


**If your child will turn 12 prior to their 2nd dose, please arrange for the 2nd dose to be done at your PCP office as they will need a different vaccine than what we will offer for ages 5-11.


Please contact the school nurse, Nicole Pradetto with any questions. praden@portlandschools.org.

Paper Consent Forms

If you are unable to use the above link to register your child for the vaccination clinic, you may download and print one of the forms and return to Longfellow School BEFORE November 17th.
pdf
insert_drive_file
Consent Form in French.pdf
Formulaire de consentement en Français
Download
102.4 KB
pdf
insert_drive_file
Consent Form in Portuguese.pdf
Formulaire de consentement en portugais
Download
101.5 KB
pdf
insert_drive_file
Consent Form in Somali.pdf
Foomka oggolaanshaha ee Soomaaliga
Download
101.0 KB
pdf
insert_drive_file
Consent Form in Spanish.pdf
Formulario de consentimiento en español
Download
100.9 KB
pdf
insert_drive_file
Consent Form in English.pdf
Download
918.2 KB

COVID Vaccination Information Translated

Please see translated letters below. The first shot is scheduled for November 18th, the second shot is scheduled for December 16th.
pdf
insert_drive_file
COVID Letter in French.pdf
Download
146.3 KB
pdf
insert_drive_file
COVID Letter in Portuguese.pdf
Download
172.9 KB
pdf
insert_drive_file
COVID letter in Spanish.pdf
Download
514.9 KB
pdf
insert_drive_file
COIVD letter in Somali.pdf
Download
395.1 KB
Loading indicator

close

Created with

Communicate quickly and effectively with interactive newsletters.

Smore empowers educators to connect with their community, streamline school communications,
and increase engagement.

Create a newsletter