CEO Flu Vaccine Appointment
All employees are welcome!
You do not need to be a CDPHP Member to participate.
All participants must bring their insurance member identification card.
CDPHP members can earn CDPHP Life Points Rewards for the flu shot.
Name
*
First Name
Last Name
Email
*
You will receive a confirmation and reminder emails at this address you provide.
Phone number
*
The best number to reach you on the day of the screening
Format: (000) 000-0000.
Date of birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Are you a CDPHP member?
*
Yes
No
Appointment
*
Schedule
Should be Empty: