Corporate Flu Shot Free Consultation Form

Thank you for your interest in Occupational Wellness corporate flu shot clinics. Please fill out the form below, and an experienced Wellness Coordinator will contact you. We look forward to assisting you.

Contact information

First Name:*

Last Name:*

Company:*

Email Address:*

Phone:*

Address:

Address2:

City:

State:

ZIP:

Job Title:

Website:

Company details

How many employees currently work at your company?

Who is your current health insurance provider?

Points of interest

Please tell us briefly about your company’s wellness needs and wants:

On Site Employee Flu Shots

Occupational Wellness is now offering a way for you to reduce employee sick days by up to 50%! Contact us for information about our employee flu shot program.