REGISTER FOR APPOINTMENTS FOR CHILDREN AGED 2-3 YEARS

Please note that this years Flu Vaccination Campaign is being delivered differently.   To observe strict guidelines to keep you safe, including social distancing and infection control, children's flu clinic will be delivered from our FLU STATION, located at the back end of our practice car park.

PLEASE BRING YOUR CHILD IN THEIR BUGGY/STROLLER FOR THEIR APPOINTMENT.

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* 1. Surname

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* 2. Forename(s)

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* 3. Date of birth

Date

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* 4. Contact number (landline)

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* 5. Contact number (mobile)

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