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):