Flu Clinic: October 22, 10 AM - 2 PM
Health Sciences and Human Services Library
601 W. Lombard Street, Baltimore, MD 21201
To help us better serve you, please review the checklist below and feel free to download the printable consent form to complete it before your arrival. Consent forms will also be provided at the door.
Spouses and children of staff (9 years of age or older) may attend with appropriate ID and insurance cards.
The cash cost of the Influenza vaccination without insurance is $35.00.
All flu shots are preservative free.
Please remember to bring:
Photo ID (Required)
Insurance card (Physical card or physical copy of your card required if using your insurance, Amerigroup and United Healthcare are NOT accepted)
Payment (Required if not using your insurance)
Consent Forms (Will be provided at the door but a pre-filled form may expedite your visit)
Printable consent form:
Please select one:
Have you had a flu shot before?
Do you plan to use your insurance?
What time would you like to attend?
10 AM - 11 AM
11 AM - NOON
NOON - 1 PM
1 PM- 2 PM
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service