Q health Vaccination Clinic Form
Please fill out the following information regarding your vaccination clinic to ensure your account is set up correctly. Any questions or issues please email
Sign in to Google
to save your progress.
Is this vaccination clinic for your (if both please fill out separate forms as you will need separate accounts):
Please input the practice/PCN name and ODS/ANANA code
Email address of Key User (this user will then be able to invite other users to the account)
What's your preferred SMS method?
Q doctor Bulk SMS (3.5p/SMS)
Are you looking to vaccinate patients for:
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This form was created inside of MyMed Healthcare.