Flu Vaccination

Please complete this form to inform us if they are declining the flu vaccination or if they have had it elsewhere.

Flu Vaccination

Flu Vaccination

You can use this form to decline the flu vaccination or to let the Practice know that you have had it at a chemist.

Your request will be passed to an appropriate member of staff to update your records. We aim to respond to all requests within two working days.

Please select a statement below: *