Union Quay Medical Centre

Flu Vaccination Consent form

  • 1
    Step 1
    Personal details
  • 2
    Step 2
    Medical Check
  • 3
    Step 3
    Submit

Step 1

Personal details

Form Submitted Successfully!

We will contact you as soon as possible.

COVID VACCINE APPOINTMENT

If you would like to receive your Covid Booster Vaccine, please email us at info@uqmc.ie with your name and date of birth.