Flu/Covid Vaccination Decline Form

Please use this form to let us now if you woud like to decline the offer of either a Flu or Covid Vaccination this year.

Last Updated: 02/09/2024

Flu/Covid Vaccination Decline Form

Please use this form to let us now if you woud like to decline the offer of either a Flu or Covid Vaccination this year.  If you wish to have one of the vaccinations but not the other, please go ahead and book an appointment but let the vaccinator know on the day which vaccination you don't wish to have.





This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.