Flu Shot Registration ***ONLY FOR ADULTS***
Flu vaccine supplies are limited and will be prioritized based first come and medical need.
Our staff will contact you with time and date of the administration of the flu shot.
Last Name *
Your answer
First Name *
Your answer
Cell Phone Number *
Your answer
Email *
Your answer
Are you a patient of El Bari Community Health Center *
Do You Have *
Your Age *
Your answer
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