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Flu Vaccine Consent Form

Using links below please download, print and fill out one consent form and one Covid-19 Screening Checklist for each person receiving a flu vaccine.  Both forms must be received before flu shots can be administered at Creemore Village Pharmacy. 

COVIDscreeningchecklistEN (pdf)Download
Flu_shot_consent_form_2020_2021_for web (pdf)Download
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Additional Information

Flu Vaccines will be administered by appointment only.  Staff are under a tight schedule to ensure social distancing. Please be respectful of time limit.  

Wear a short sleeved shirt, as there is no private room.  

Please have consent forms filled out ahead of time if possible.

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Creemore Village Pharmacy

171 Mill Street, Clearview, Ontario L0M 1G0, Canada

(705) 466-2311

Copyright © 2020 Creemore Village Pharmacy - All Rights Reserved.

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