2022 Flu Shot Dose Sign Up Sheet
PLEASE REVIEW ALL INFORMATION CLOSELY.
We will call you to book you for a FLU vaccine appointment. At this time we are requesting that only our HIGH RISK patients add their names to the call-back list.
Completion of this form authorizes us to use your email address to contact you. It also provides consent for us to collect your personal information which is being stored on a password protected Google-platform website.