Flu Shot Clinic
Below is the Consent form & Vaccination Assessment form; please fill out and bring with you.
Vaccine Administration Record - Informed Consent for Vaccination
(Pre-fill your information with name of doctor you would like to be notified and complete questions 1-6)
Vaccine Administration Record - Informed Consent for Vaccination - Spanish version
Vaccination Assessment
(Pre-fill your information with name of doctor you would like to be notified and complete questions 1-6)
Vaccine Administration Record - Informed Consent for Vaccination - Spanish version
Vaccination Assessment
Flu Shot Clinic
Date and Time
Friday Oct 1, 2021
10:00 AM - 12:00 PM CDT
Friday, October 1, 2021
10 am - 12 noon
Location
Chamber of Commerce
1001 US 59 Loop N
Livingston, TX 77351
Website
Contact Information
(936) 327-4929
Send Email
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