The information requested below will allow the pharmacist to quickly assess the safety and suitability of flu vaccination for each person. This also means the pharmacist can determine which vaccine is most suitable, and whether you can avail of free vaccination. Providing this information to the pharmacy in advance will also limit the amount of time you need to spend in the pharmacy, keeping you and our pharmacy teams safe.
More information on Pharmacy Flu Vaccination is available here.
Please note: completing this form and submitting a request for booking does not guarantee an appointment. The pharmacy will contact you as soon as possible to confirm if an appointment is available. You will receive a confirmation email after you send your completed form - please check your spam/junk folder if you do not receive it.