Flu Clinic Request Form

Use this form to request a flu clinic.
(all fields are required)

After completing the form – your information will be sent to the appropriate person at the Colorado VNA.  Someone will be in touch shortly to answer all your questions and schedule your Flu Clinic.

Disclaimer:

Your information is safe and secure and we will never sell or give your information to any third party.  Your information will only be used for the purpose in which it was intended.

Experience you can trust

Colorado Visiting Nurse Association held nearly 500 clinics in private and public locations in Denver in 2016. Flu vaccinations are provided to anyone over the age of 6 months. All Wellness Services and Vaccines are administered by an experienced Registered Nurse.

Flu shot from a nurse

(where clinic to be held)