Flu Shots

Flu shots will be administered from 9 am to 3 pm on Monday, November 9, 2021, BY APPPOINTMENT ONLY.

Please fill out Section A and Section B, Questions 4-6 and 8-10 ONLY, and Section D.

Do NOT sign the form until the day the vaccine is administered.

Please return the form, with a copy of your Medicare and/or insurance card(s), along with your PRESCRIPTION drug card, no later than November 5th, and call to schedule your appointment time slot.


wag VAR.pdf