Flu vaccination refusal
Please use this simple webform to let us know that you do not wish to have flu vacc this year

Please note, only use this form if you do not wish to have flu vacc at all. Please DO NOT use this form if you have already had a flu vacc this year at another provider, e.g., chemist
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Name *
Date of birth (eg., 06/04/1932)
 *
MM
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DD
/
YYYY
First line of address
 *
Confirm flu vacc refusal *
By ticking this box, you confirm that you do not wish to have flu vacc this year

Please note, we are obliged to offer you annual flu vacc, so you will receive another invite next year
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