Assemblyman Dinowitz Presents: Flu Shots
*UPDATE 9/29* We have secured an additional location at St. Gabriel's Church on October 14 (3250 Arlington Avenue) with New York-Presbyterian.

Very limited supply, you must register in advance (same-day registration cannot be guaranteed) to receive a flu shot. The flu shots will be provided by Walgreens/Montefiore on October 5 and New York-Presbyterian on October 14.

The flu shots will be standard doses. You must be 18 years or older to receive a flu shot at this event. If you have specific medical needs or concerns (such as needing the senior dose) please check with your doctor.

Please bring any insurance documentation you have. Fee waivers will be available for those without health insurance, but it is helpful for our partners to continue providing flu shots if they can get reimbursed by people's insurance providers.

NOTE: The flu shots will be administered indoors but you may have to wait outdoors until your turn is called. Everyone will be required to wear a mask that covers their nose and mouth at all times. Physical distance of at least six feet will also be maintained.

Please contact Assemblyman Jeffrey Dinowitz's Office with questions at 718-796-5345 or DinowitzJ@nyassembly.gov
First Name *
Last Name *
Address (ex: 3107 Kingsbridge Avenue) *
Telephone Number (ex: 718-796-5345) *
Email Address *
Pick a date to receive your flu shot: *
Please check "YES" to indicate that you understand this will be the standard flu shot dosage and that you agree to abide by physical distancing of at least six feet while waiting in line as well as wear a mask that covers your mouth and nose at all times. *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of jeffreydinowitz.com. Report Abuse