What to bring

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    IF YOU ARE A MEMBER OF ALL TRS PLANS OFFERED THROUGH BLUE CROSS BLUE SHIELD, AETNA, UNITED HEALTHCARE, CIGNA or HUMAMA PPO INSURANCE PLANS:
    MEDICARE PART B (Flu & COVID vaccines only - please provide a copy of any supplement plans also)
    • Bring a COPY of your driver’s license and a COPY of your health insurance membership card – this is necessary to correctly bill insurance for your vaccination(s).  Most vaccinations will be covered at 100%
    • A completed consent form for each individual receiving a vaccination
    • Children under the age of 18 must be accompanied by an adult 

     

    NOT A MEMBER OF BLUE CROSS BLUE SHIELD, AETNA, UNITED HEALTHCARE, CIGNA or HUMANA PPO INSURANCE PLANS?

    • A completed consent form for each individual receiving a vaccination
    • Children under the age of 18 must be accompanied by an adult
    • Passport Health accepts cash or checks for non-covered vaccinations

    All Lewisville ISD employees should bring their ID badge.

    Consent Forms: 

    2024 Flu Consent Form

    2024 Covid Consent Form

    2024 B12 Consent Form

     

     

     

    Page revised 08/27/2024

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