Please note that each patient (including married couples) must submit a separate application.
If the application form isn’t showing below, please try this alternate link
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If you are between the ages of 18-64 and need a 2021-22 Influenza vaccination, please give us a call at 540-948-3667 to schedule an appointment. This service is free and open to those who live or work in Madison County, regardless of income or insurance status.