Set up a URMC Flu Clinic

Providing a flu clinic is a smart way to keep your employees healthy. And working with URMC Flu is the best way to make that process simple and easy, both for you and for your employees.
Read more about how URMC Flu makes flu clinics better

If you would like to set up a flu clinic for your organization, there are two ways to do that:

  1. You can fill out the form below and submit it online.
  2. Or you can call us at 585-275-0636

We look forward to making your flu clinic simple—and to helping your employees stay healthy throughout the year.

Corporate Flu Clinic Request Form 2010-2011Season

*Corporation Name
*Corporation Address
*City
*State
*Zip
Contact person:
Contact Phone
Fax
E-mail

Insurances covering Flu: Most major Insurances – except for Traditional Medicaid. Will your company pay for employees not covered by above insurance?

Yes

No

Will your company pay for un-insured employees?

Yes

No

Best Day(s) of the week for clinic

Sun

Mon

Tues

Wed

Thurs

Fri

Sat

Best Time Period(s)

before 9am

early am

late am

early afternoon

late afternoon

eves

How many hours do you want the clinic to run?

 

Approximately how many employees to receive flu shots ?

 

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