Flu Clinic Call Back Request

Each year we vaccinate in the region of 6000 people against flu. In past years this demand caused some congestion on our telephone system which meant that some of our patients had problems in contacting us to make their appointment. In response to your feedback we created this form. If you are having problems getting through on the telephone to book an appointment for your flu vaccine then you can complete this form and we will call you back to arrange an appointment within 72 hours. The form only needs to be completed once for each household. 

Please note that this form is for the flu clinics only.
Thank you

If you are not happy to tick the boxes above please write down your details as requested above and return it to the surgery.

Thank you for submitting! A member of the Nursing Team will contact you.