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referrals

If it is medically necessary for this patient to be seen urgently by a physician, call the department directly.

Otherwise, please fill out the form below as completely as possible:

 

patient's information

services requested

reason for request

requesting practitioner / group

get your flu shot by Halloween

The key is to get the vaccine at least two to three weeks before the flu season begins in order to have optimal protection against it. 

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