Lorain County Flu

Flu Registration Form

Please click on the form, fill it out completely, print it, and bring it with you to the flu clinic. 

 


Injectable Vaccine

This vaccine is s traditional shot with a needle, usually into the arm, and is recommended for all ages 6 months and older. Complete and print the form below if you want to receive this vaccine.

 

Injectable Vaccine 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.

 

Flu RSS Aggregator

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