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Save time by completing the flu vaccination form before you arrive. Once you submit, you’re good to go! No need to print the form. Just stop by the Bartell’s location you selected to receive your vaccination.

Filling out forms for the family? Just click “+Add Patient” at the bottom of the form before you submit.

About This Form: The form is not associated with the CareClinic and only applies to the flu vaccine administered by the Bartell Drugs Pharmacy.

  • Patient [gfRepeater-count]

GET YOUR FLU SHOT

Fast. Easy. Convenient.

GET VACCINATED
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