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Request a Covid-19/flu vaccine clinic Form

Available for Your Group or Organization

Thank you for your interest in hosting a COVID-19/Flu vaccination clinic for your event, organization or business. THD works with community partners to accommodate as many requests as possible. To start your request, please fill out the form below. For more information about the COVID-19 vaccine, click here. For more information about the seasonal flu vaccine, click here.

Request a COVID-19/Flu Vaccine Clinic

"*" indicates required fields

Contact Information

Contact Name*
Contact Email Address*

Event Information

Date of Event*
Set-up Time*
:
Start Time*
:
End Time*
:
Is this date flexible?*
Event Address*
Date Response Needed By*
Please allow 2 weeks for THD to process your request.
Is this event open to the public or closed?*
Will the patients pre-register?*
Is the event indoors or outdoors?*
Are tables and chairs provided?*
This field is for validation purposes and should be left unchanged.
LOCATIONS

We have 10 locations across Tulsa County that offer a variety of services to help you and your family stay healthy.

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