Flu Certificate Order Form

Your company may purchase Fight the Flu certificates for employees to use at any Inova public clinic or urgent care location. For more information and a complete list of public clinic and urgent care locations, please visit our website: inova.org/flu.


1. For companies with multiple locations, certificates eliminate the need to gather employees in one location to hold a work-site clinic.

2. Smaller companies who cannot meet their participation requirement for any on-site clinic may purchase certificates to offer the flu shot benefit to their employees.

3. Employees may receive the vaccination at numerous locations throughout the Northern Virginia area at their own convenience (only valid at Inova locations).















(000-000-0000)










Certificate orders will be processed and mailed within 72 business hours and will be accompanied by an invoice.

Each certificate's cost will be billed at your corporate rate. There is no additional charge when the certificate is redeemed.

The Fight the Flu campaign operates September through February 2018.

There is no minimum purchase. Companies may purchase as few or as many certificates as needed.

Certificates are non-refundable.









Powered by Smartsheet Forms
Privacy Policy   |   Report Abuse
Your submission is being processed. Please do not close this browser window until complete.