Lakehead Orillia Flu Shot Clinic
The Lakehead Orillia Flu Shot Clinic is open to all Lakehead students, faculty, and staff. We have one clinic scheduled for Wednesday November 1st at Heritage Place, and one scheduled for Monday November 6th at the Wellness Centre on campus at 500 University Ave. If you are unable to attend either clinic date, you can get your flu shot at no cost at your local pharmacy.

Complete this form to select a timeslot to receive your flu shot. Please print and complete this consent form and bring it with you to your appointment. If you don't complete the consent form in advance, please arrive to your appointment 10 minutes earlier to complete a paper copy. 

Remember to bring your health card if you have one.
Sign in to Google to save your progress. Learn more
Email *
First and Last name *
Email address *
Which of the following best describes you? *
Which flu shot clinic would you like to attend *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lakehead University. Report Abuse