Yes, I am interested in having Inova come to my worksite to provide flu vaccinations.
Please complete the form below and include up to three date preferences for a flu shot clinic at your location. Once complete, click "Submit" at the bottom. We will respond to your request as soon as possible. Please note: the dates you request in this form are requests only and will not be confirmed until you are contacted by Inova's "Fight the Flu" office staff.
This year, Inova will also offer the new quadrivalent flu vaccine at a charge of $32 per person, in addition to the standard flu vaccine for $25 per person. Please check the box below if you are interested in more information about quadrivalent influenza vaccine.
For more information about Inova's workplace flu clinics, call 703-698-2424 or email us at firstname.lastname@example.org. Thank you for allowing Inova the opportunity to protect your employees from the flu this season.
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