Request Canine Influenza Vaccine Canine Flu (Influenza) Vaccine Request Due to the high-volume of requests for canine flu vaccines, thank you for using this form to help relieve the call-volume on our client services team and keep phone lines open for emergencies. You will be contacted to confirm your appointment within 24 hours. Many Thanks! Client Name*FirstLastPhone*Email Address on fileHow would you like to be contacted to confirm appt?*PhoneEmailBothNumber of Pets to be VaccinatedOneTwoThreeFourFiveSixSevenEightMore than Eight (Specify # in Comments)Please select the number of pets you need to have vaccinated in your appointment. This helps us with scheduling time and managing vaccine supplies. Do you require an exam or additional services?*No, just the vaccine. I would like a full exam with a Veterinarian.Other services.If you require other services, please list them below.
