Flu Season is Back Request an appointment for our Flu Shot clinic here! First Name* Last Name* Date of Birth* Flu Shot Type Requested* Regular DoseHigh Dose 65+ Phone Number* Email* (if you don’t have an email address, use none@none.com) Health Card Number* If you have received your Flu shot from the pharmacy, please notify us below! Your First Name Your Last Name Date of Birth* Flu Shot Type RegularHigh Dose 65+ Vaccine Date
