If you are eligible for a Flu Vaccine then you can request an appointment. This form is to request an appointment for our pre-bookable Flu clinics.

You are eligible for a Flu Vaccine if:

  • You have chronic heart disease
  • You have chronic respiratory disease, including asthma that needs regular steroid inhalers or tablets
  • You have chronic kidney disease
  • You have lowered immunity due to disease or treatment (such as steroid or cancer treatment) or are in close contact with or live in the same house as someone in this group
  • You have chronic liver disease
  • You have diabetes
  • You have had a stroke (or mini stroke)
  • You have a learning disability
  • You have chronic neurological disease (Parkinson’s disease or Motor Neurone disease)
  • You have a problem with your spleen, such as sickle cell disease, or have had your spleen removed
  • You are an adult with a higher body weight (a body mass index (BMI) of 40 or more)
  • You have severe mental illness
  • You have epilepsy

It is also recommended and free if:

  • You are pregnant
  • You are aged 65 and over (those reaching the age of 65 by 31st March 2024 i.e born before 1st April 1959)
  • You live in a residential or nursing home
  • You are a carer
  • You are a community first responder
  • You are a member of a recognised voluntary organisation and provide planned first aid
  • You are homeless
  • You are a Health Care worker
  • You are a Social Care staff member

Please complete and submit this form, we will then contact to arrange your Flu Appointment.

APPOINTMENT DETAILS