Flu Vaccination Appointment Request

If you fall into one of the categories eligible for a flu vaccination, please complete this form.

We will advise you of your actual appointment time by text message and by email.

The way we are running our flu clinics this year is very different to past years, please try and keep to your allotted appointment time when received.

Please wear a face covering when attending the surgery and please do not attend if you are unwell or have any COVID-19 symptoms.

Flu Vaccination Appointment Request

Flu Vaccination Appointment Request

Section

Eligibility

Please select the relevant category: *

If you are aged 50-64 and not in an ‘at risk’ group then please do not complete this form as details regarding clinics for this group of patients will be made available once we have received further information from NHS England. Please visit www.nhs.uk/conditions/vaccinations/flu-influenza-vaccine/ for information about the different groups.

Availability

Tuesday 6th October 2020

Saturday 17th October 2020

The clinic on 17th October will be held in the South Stand at Norwich City Football Club, Carrow Road, Norwich.

Please select your preferred time:

Ethnicity

Please specify the ethnic group you consider you belong to: *

Terms and Conditions

*
*