Over 65 flu consent

Use this service to let us know whether you would like the Flu vaccine this year or if do not wish to have the vaccine.

You can use this service if you:

  • are registered at the surgery

Before you start

We’ll ask you for:

  • your first and last name, date of birth, sex, postcode, email and phone number
  • if applicable, the details of the person you are completing the form on behalf of
Start now

You can also phone us on Creswell Medical Centre 0190 972 1206 or Langwith Medical Centre 0190 972 1206.