Corporate Flu Clinics

Keep your employees healthy!

Please fill out the form below to register.

The cost is $24/per employee receiving the flu injection - no additional fees
A minimum charge of 40 employees will be applied in most situations.

All shots will be administered by a certified family nurse practitioner or registered nurse. In Virginia, all participants must be 18 years of age or older.
See our main flu page for information.

For more information e-mail flu@ctmedicine.com or call our office at 703.351.5100.

Contact Information (* Indicates Required Field)

Email*

Company Name*

Address line 1*

Address line 2

City*

State*

Zip

Contact Name*

Title

Phone*


Participant Information

Est. No. Particpants

Payment Method


Scheduling - Our Corporate Flu Program will be held beginning October 2009 through the end of February, 2010

Desired Date (1st Choice)

Desired Date (2nd Choice)

Desired Date (3rd Choice)


Is free or validated parking available for our staff?

Additional Comments