Please let us know if you have received your flu vaccine this season, so your medical chart can remain up to date! Please enable JavaScript in your browser to complete this form.Name *FirstLastEmailPhone NumberFamily PhysicianDr.Laura ChowDr. Marta FundamenskiDr. Kyle MylreaDr. Brie-Anne RosenbergDr. Sarah SalibaDr. Marc BoisvenueHave you gotten a flu shot this season? *YesNoWhat was the location & approximate date of your flu shot? Would you be interested in a flu shot?Yes - Planning to go to a pharmacy or Ottawa Public Health clinic - Please UPDATE US once received!Yes - Planning to go to RRFM flu clinic - PLEASE CALL 613-695-6900 ext 4 to book an appointmentNoNames of family members who got a flu shot with you (optional)WebsiteSubmit
