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Influenza Vaccine Order Form 2019

*Your fridge temperature recordings must be included for this order to be processed

 Delivery Information
•Please allow 10 business days for process and delivery.
•If you are using Dynacare (registered participants only) or Bio-Test, you can expect automatic delivery of your order.
•If you are using Self-pick up or On-Demand Courier, you will receive a phone call when your order is ready. Please arrange to retrieve your order within 48hrs of notification.
•Please bring a cooler and ice packs when picking up vaccine.
•Vaccine Program hours are Monday to Friday, 8:00am to 4:00pm.

Questions and comments regarding your order may be directed to: or 613-580-6744

Please complete all fields:

Actual order will depend upon availability of each product.


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