Ways to Order

Order your flu vaccine for the 2022-2023 season

 

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CLICK HERE TO ORDER FLU VACCINE

Complete the request below If you prefer to fax or talk to a team member directly, please use the options to below

Facility Name *

Contact Name *

Address

City

State

Zip

Phone *

Fax

Email *

Email Confirm *

How did you hear about us?

Total doses used for entire season?

Please check the brand/manufacture
you prefer:

 Afluria (bioCSL) Fluzone (Sanofli) Fluvirin (Novartis) No Pref

Will you be vaccinating children under 4
years of age?

 Yes No

Quantity of vials requested
(10 doses per vial)

Quantity of syringes requested (10 syringes per box)