Flu Registration Form

  • Form must be printed, signed, and brought to clinic.
  • For use in Lorain County General Health District Clinics only.
  • One form per person is required for vaccine.
  • If you are under 18 then you must be accompanied by a parent or guardian.
  • View vaccine information sheets:

Click here to complete the vaccine registration form online.

Flu RSS Aggregator

Flu RSS Aggregator Widget. Flash Player 9 is required.
Flu RSS Aggregator Widget.
Flash Player 9 is required.