Response to Covid-19 Vaccination Invitation

If you have been invited for a Covid-19 vaccination please use this form to:

  • Confirm that the appointment is suitable
  • Tell us the appointment is unsuitable – this may mean a significant time delay in receiving your vaccine
  • Decline to have the Covid-19 vaccination

Please do not attend a vaccination session if you have Covid-19 symptoms, as set out here by the NHS.

Response to Covid-19 Vaccination Invitation
Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.
Please use this date format: DD/MM/YYYY.
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