Free On Site Flu Shot Clinic

Thursday, September 19th, 9:00 am - 11:00 am

How The Flu Shot Clinic Works

Bring Your Medical ID card if you have Aetna, IBC, Amerihealth, Unitedheatlhcare or Medicare for a free flu shot at work. VOTG will file the claim on your behalf. All participants are required to complete a consent form prior to receiving the vaccination.

You and your dependents over 18 must register for the vaccination. Please complete below and return to Judy.

Employee Name:

Employee Phone Number:

Dependent Name(s):

Dependent Phone Number(s):