Request a No-cost Flu Vaccine
Enter your information now to request a no-cost flu vaccine. You will receive an email from Duval County Medical Society staff with instructions. Please note, each individual requesting a voucher must submit this form.
Email
example@example.com
Zip Code
Did you get a flu shot last flu season?
Yes
No
Duval County Medical Society staff will reply to submissions throughout the day Mon- Fri. There may be a delay in response time. Please double-check your email address. If your email address is entered incorrectly, we will not be able to contact you.
Submit
Should be Empty: