Health Hope Network

We've made it easier to partner with us for hosting a clinic for flu & pneumonia shots.

Select a form to register your private (employer/ workplace setting) or public clinic (malls, grocery stores, pharmacies, etc.). Please complete the appropriate form and return it to us by your preferred method of: regular mail, fax: 412-937-8355 or email: info@healthhopenetwork.org

Another addition to make getting your flu shot easier. Fill out the 2006 Consent Form before attending a flu shot clinic. Take the completed consent with you the most convenient flu shot clinic near you. A volunteer will verify the information then one of our nurses will give you your shot. Time saving for you & us.

2006 CONSENT FORM
Get ready in advance. Before heading to one of our clinics for your yearly influenza shot, fill out the Consent Form. One of our volunteer staff will double check your information then a nurse will give you your shot.

PRIVATE CLINIC REGISTRATION FORM
If you would like to host a flu shot clinic at your workplace, please fill out the attached form and return it to us by regular mail, fax (412/937-8355) or e-mail (info@vnf-pittsburgh.org).

PUBLIC FLU SHOT CLINIC
If you have a room to host a clinic at a mall or grocery store or bank and want to provide your customers with an opportunity to get their flu shots while doing errands, please complete the attached Registration Form and return to us by regular mail, fax (412/937-8355) or e-mail (info@vnf-pittsburgh.org).