Get the free On-site Flu Shot Request Form - BarnesCare

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FAX or E-MAIL completed request form to: BarnesCare, (314) 747-6058 Attn: Jane Myers, 5000 Manchester, St. Louis, MO 63110 Jane. Myers BJC.org ON-SITE FLU SHOT SCHEDULING REQUEST Date: Company Name:

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How to fill out on-site flu shot request

To fill out the on-site flu shot request, follow these steps:

01

Visit the designated website or portal for flu shot requests.

02

Provide your personal information, such as your name, contact details, and employee ID (if applicable).

03

Select the date and time for the on-site flu shot appointment.

04

Confirm any additional information, such as your medical history or allergies.

05

Submit the completed form.

On-site flu shot requests are typically required by individuals who:

01

Work in a company or organization that offers on-site flu shot programs.

02

Prefer the convenience of receiving the flu shot at their workplace.

03

Want to minimize the risk of getting the flu and protect themselves and their colleagues.

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What is on-site flu shot request?

On-site flu shot request is a form that employees can submit to request a flu shot to be administered at their workplace.

Who is required to file on-site flu shot request?

All employees who wish to receive a flu shot at their workplace are required to file an on-site flu shot request.

How to fill out on-site flu shot request?

Employees can fill out the on-site flu shot request form with their personal information, preferred date and time for the flu shot, and any relevant medical information.

What is the purpose of on-site flu shot request?

The purpose of on-site flu shot request is to make it convenient for employees to receive their annual flu shot without having to leave their workplace.

What information must be reported on on-site flu shot request?

The on-site flu shot request form typically requires employees to report their name, contact information, preferred date and time for the flu shot, and any relevant medical information such as allergies or pre-existing conditions.

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