Fast Flu

Please call our office at 972-304-0091 to schedule an appointment for your flu vaccine. You can still stay in your car and we will administer the vaccine in your car if you prefer. For further information on the vaccines, please see the Vaccine Information Sheets found under Resources on our website.

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Family Information

Insurance Information

Medical Information

Consent Agreement

I have read the 2020-2021 Vaccine Information Sheet for the seasonal influenza vaccine. I understand the risks and benefits. I can give legal consent to Dr. Anne Georgulas and her staff for the Patient named in the Family Information section of this form. I give consent for Dr. Anne and her staff to vaccinate the Patient.

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