Flu Immunization Clinic - Tremonton Community Flu Clinic
Please fill out this form to reserve a spot at the immunization clinic. If you have multiple people that need immunized, please fill out a separate form for each one.
Tremonton Bear River Health Department Parking Lot, 440 W 600 N, Tremonton
Patient Date of Birth
Flu shot (6 months and up)
FluMist (Healthy & Age 2-49)
Please specify if other
What to Bring
- If you are sick or not feeling well, please stay home. Please arrive at your appointment time. Please maintain social distancing upon entering the immunization clinic and please remember to wear your face mask.
Please fill out the Patient Information Sheet, print it out and bring it the day of your appointment
Should be Empty: