WorkWell NYC

Request a Worksite Flu Shot Clinic

Thank you for your interest in WorkWell NYC's worksite flu shot clinics. This will be an important year to reduce the spread of the flu. Worksite flu clinics are a quick, convenient, and effective way to help employees stay flu-free and prevent disease from spreading in our workplaces and communities.

Please complete the form below and we will contact you to complete the scheduling of your clinic within one week.

    Agency and Location Information

    Note: If you are requesting services at multiple locations, please complete a form for each location

    Main Contact Information
    Back-up Contact Information
    Event Information
    Room Selection

    Note: This year, to ensure social distancing, each nurse station will require a space that is 10 feet x 10 feet or larger. A designated waiting area that allows employees to wait 6 feet apart from each other is also required. Each nurse requires one table, 2 chairs and a wastebasket (for non-medical wastes). Our nurses will arrive 30 minutes before the event start time to set up.

    Other