Saturday Flu Vaccination Clinics

Moss Healthcare Harrogate would like to advise patients that the dates for our seasonal Saturday Flu vaccination clinics are: 7th October 21st October 4th November 18th November Each clinic will run from 9am to 4pm. Invitations are now beginning to be sent out as the Practice gets confirmation of its vaccination deliveries. An SMS Text

Fill out a simple online form to get advice and treatment by the end of the next working day.

Moss Healthcare Harrogate > Forms > Keep us up to Date > Register as a Carer Form

Register as a Carer Form

Carer Details

Your First Name *

Your Last Name *

Your Email *

Your Date of birth *

Please use format day/month/year e.g. 12/05/1979

Your Phone Number *

Your Address

Town/City

County

Postcode

Country

Details of Person You Care For

First Name *

Last Name *

Date of birth *

Please use format day/month/year

Address of person you care for

Town/City

County

Postcode

Country

What relationship to you is the person you care for?

Is the person you care for a patient at this surgery?

Yes

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.

I consent to the practice collecting and storing my data from this form.

Saturday Flu Vaccination Clinics

Register as a Carer Form

Carer Details

Details of Person You Care For

Privacy Policy

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