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Coping Skills For Anxiety & Depression - Part 1
Coping Skills For Anxiety & Depression - Part 2
Feeding Your Baby - Introducing Solid Food
Heart Health
Holiday Survival Skills Workshop
How to AVOID Frailty
Prenatal Clinic: 4 Classes
Preventing Caregiver Burnout
Relaxation & Stress Management Skills - 3 Sessions
Rural Care Partner Support Group
The Cost of Caring
The Highs & Lows of Diabetes
The Mediterranean Diet for Good Health
Understanding Pre-Diabetes
Walk-Fit Class
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COVID-19 at EWFHT
Clinic Hours
Fees & Services
Health Card FAQs
Physicians Accepting New Patients in Our Area
Healthcare Options In Your Community
Online Booking
Prescriptions
Saturday Urgent Care
Other Clinics
What's New in Healthcare!
Zero Tolerance Policy

Flu Shot or COVID-19 Vaccination Elsewhere

If you did not receive a flu shot or COVID-19 vaccination at your family doctor's office, please let us know where you received it and the (approximate) date.  (Only complete relevant answers, leave others blank.)

Name:
Date of Birth (DD-MM-YYYY):
I received my flu shot at:
Approximate date of flu shot (DD-MM-YYYY):
I received my COVID vaccination at (location):
Approximate date of COVID vaccine (DD-MM-YYYY):
I received:
Dose 1
Dose 2
The type I received is:
AstraZeneca
Moderna
Pfizer
Other/Unsure
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