Child Flu Vaccine request 2020/Ardara Health Centre

A new HSE programme for children aged between 2 and 12 years of age has been rolled out, where the flu vaccine is administered as a nasal spray.

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Firstname:

Surname:

Date of Birth:

Please provide us with a PPSN or Medical card/Doctor visit card number

PPSN:

Medical Card or Doctor visit card number:

Mobile:

Ardara Health Centre will text you at above mobile number with a date and time for your flu vaccination.

By submitting this request you are agreeing
to us sharing you information with the Department of Health for a "legitimate purpose".