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 Vaccine, please email us at info@uqmc.ie with your name and date of birth.