Flu Vaccination Decline Form

If you wish to decline the flu vaccination please complete and submit the form below.

For more information on the flu vaccination click here

arrow&v
arrow&v
arrow&v
arrow&v
Decline Flu Vaccination

If you are not happy to tick the boxes above please complete the paper copy of the form, located on the back of your flu vaccination invite letter, and return it to the surgery. Alternatively, complete and print this page and hand in at your surgery.

Thanks for submitting. We will update your records.