Influenza Vaccination Appointment Request

This form is to request a vaccination against influenza.

This form can only be submitted by patients who are between the ages of 18 and 64 who are in a clinically at risk group. You would have been sent an SMS message last week telling you that you can apply for an appointment.

We will email or SMS you your appointment time and send you instructions.

Once again, we have secured the South Stand of Norwich City Football Ground.

Vaccinations will take place on Saturday 24th September 2022.

We would appreciate you wearing a face covering when you attend the appointment. Do contact us and let us know if you are unwell or have COVID-19 symptoms. If you have tested positive for COVID on or after 17th September 2022, please do not attend.

Please do try and keep to your allocated time.

Influenza Vaccination Appointment Request



This is for patients registered with Magdalen Medical Practice.


This is for an Influenza vaccination.

The clinic is being held in the South Stand at Carrow road football stadium on Saturday 24th September 2022.

Please specify your preferred time:

We will endeavour to accommodate your request.


Please specify the ethnic group you consider you belong to: *

Terms and Conditions