Skip to Content | A A A A
Home page
About Us
Our Services
Contact Us
Contact Us

I Got My Flu Shot!

The Two Rivers Family Health Team would like to keep your records up-to-date. 

If you have had your flu shot for the 2021-2022 season at a place other than Hespeler Medical Clinic or HealthLink Family Practice, we would love to know!

Please complete and submit the below form.

Your First and Last Name
Your Doctor
Your Gender
Female  Male  
Your Date of Birth
Where did you receive your flu shot? (Pharmacy, another clinic, hospital, etc)
When did you have your flu shot?


Thank you! 

CAPTCHA - antispam code, enter the three black characters
captcha image