Clinical Partners Forms and Documents

Community Partners

Agencies that utilize Janzen's as their dedicated pharmacy provider have access to on-site influenza clinics as no charge, as vaccine availability permits.  Many community agencies are considered high-priority for vaccine; however it is possible that some community availability may occur prior to receiving larger quantities for community clinics.

 

2024-2025 Influenza Program

  • Consent forms will be posted on this page when available.

  • Please ensure that all forms are completed prior to your scheduled clinic date. 

    • Vaccinations will not be provided without a completed form for each individual. 

    • Please do not staple forms

  • Janzen's will contact your agency administration to schedule a site visit by the NP

  • Please do not call the store locations; we are coordinating with your administration as per previous years.

 

DOWNLOAD CONSENT FORM