2021 Flu Shot Clinics

Please complete this sign up at least one (1) hour prior to the start of the flu clinic on that day. This will ensure enough vaccine is available. Due to travel time from the Family Health Center late sign ups may be asked to wait or high-dose vaccinations may not be available. 

* denotes a required field

2021 Flu Clinic Sign-Up















Personal Information




Insurance Billing Information


Contact Information





Page last modified October 5, 2021