2024 FLU VACCINE CLINICS

GREENE COUNTY PUBLIC HEALTH FLU and or COVID CLINIC APPOINTMENTS
Full Name*

First NameMiddle NameLast Name
Phone*
Birthdate*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email-If you'd like to receive appointment reminder:
example@example.com
Would you like a Flu vaccine, COVID-19 vaccine, or Both?

Flu vaccineCOVID-19 vaccineBoth Flu and COVID-19 vaccine
VACCINE INFORMATION STATEMENT- PLEASE REVIEW!
VACCINE INFORMATION STATEMENT-PLEASE REVIEW!
SELECT APPOINTMENT DATE & TIME: GCMC-PUBLIC HEALTH-LEVEL B
DRIVE-THROUGH CLINIC: GREENE COUNTY FAIRGROUNDS
PLEASE BRING TO APPOINTMENT:

HEALTH INSURANCE CARDS

After submitting, you'll be directed to the registration link.
Should be Empty:

GREENE COUNTY PUBLIC HEALTH FLU and or COVID CLINIC APPOINTMENTS