Flu Update

 

If you do not wish to have the seasonal flu vaccination, or if you have already had it administered elsewhere, please fill in the form below and we will update your records so that we don’t contact you again this season.

    Your Name (required)
    Your Date of Birth (required)
    Your Email (required)
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    If you have had the vaccine elsewhere, please fill in the location where you had it done, and the date it was administered, in the boxes below:
    Location: Date:
    Any comments?


    Email Update

    In an effort to communicate more easily with our patients, we are asking whether they would allow us to email them in the future regarding reminders, instead of mailing out letters.

    If you are happy for us to communicate with you in that way please fill in the form below (if you came to this form via an email communication, and you’re happy for us to continue communicating with you in this way, you don’t have to fill anything in):

      Your Name (required)
      Your Date of Birth (required)
      Your Email Address
      Any comments?

      It should be noted however, that at present it is not possible for patients to communicate with the practice on a routine basis via e-mail unless it is via a system like this on the website.