Get Rexall.ca Flu Shot

Filling out the Rexall.ca Flu Shot form online is a straightforward process that ensures you provide all necessary information for your flu vaccination. This guide offers clear, step-by-step instructions to help you navigate the form with confidence.

Follow the steps to successfully complete your flu shot form.

1. Press the ‘Get Form’ button to access the flu shot form and open it for completion.
2. Enter the date on the designated line. This is important for record-keeping and ensuring accuracy.
3. Provide your Provincial Health Number in the specified field. This helps to verify your identity and eligibility.
4. Fill in your name as it appears on your identification to avoid any discrepancies.
5. Indicate whether you have recently filled a prescription at this location. If you answer yes, you can skip to the questionnaire section.
6. Complete your address, including city and postal code, to ensure proper communication and follow-up.
7. Input your home phone and mobile phone numbers. This is crucial for any necessary contact.
8. Specify your gender by marking the appropriate box.
9. Enter your date of birth in the format MM/DD/YYYY to determine eligibility.
10. Provide your age and weight in kilograms as requested.
11. If applicable, fill in your child’s weight in pounds for pediatric vaccination.
12. List the name of your emergency contact, along with their relationship to you and their phone number for communication in case of an emergency.
13. Carefully answer the flu vaccine questionnaire, indicating 'Yes' or 'No' to each question related to your medical history and current health status.
14. If you answered yes to any question in the questionnaire, be prepared for the nurse or pharmacist to ask additional questions to determine your eligibility for vaccination.
15. In the consent section, indicate whether you wish to receive the flu vaccine and provide your name and signature, confirming your understanding of the flu shot information.
16. Complete any additional fields that may be required by the health care provider, including their signature and license number.
17. After reviewing all entered information for accuracy, proceed to save changes, download a copy of the completed form, or share it as necessary.

Complete your Rexall.ca Flu Shot form online today to ensure your health and safety this flu season.