Flu Vaccination

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Forename

Surname

Date Of Birth

Email Address

Mobile Phone Number

Age (in Years)

Schools Name

Schools Postcode

Are you in an eligible category to receive a free flu vaccination with the NHS?

NHS Number (if Known)

GP Name

GP Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Please provide the location of the preferred Boots store you wish to use.

You can check to see where your nearest available store is here

Does this store offer flu vaccinations?

Are there suitable times available to book an appointment?

By schools for schools