Schedule company employee a flu clinic in Salt Lake City, Utah

Community Nursing Services

Immunization Clinic

- 2018 -
Flu Clinic Scheduling Form

Schedule your on-site employee flu immunization clinic by filling out the form below or call (801) 207-8777.

 
 
Address *
Address
Phone *
Phone
Preferred Clinic Date: *
Preferred Clinic Date:
Start Time:
Start Time:
Alternate Clinic Date: *
Alternate Clinic Date:
Start Time:
Start Time:
Community Nursing Services is contracted to directly bill the following insurances:
Aetna, Altius, Ameriben, Blue Cross, Direct Care Administrators, DMBA, Educators Mutual, GEHA, Meritain, Molina, Molina Marketplace, Oxford Health Plan, PEHP, Select Health, United Health Care, University of Utah, UMR, Tall Tree Administrators, Tricare, WISE Network, CHIP, Medicaid, Medicare Part B, and most Medicare Advantage Plans. ***INSURANCE CARD & PHOTO ID MUST BE PRESENT AT TIME OF SERVICE***
I understand that any changes to my clinic must be made 10 days prior to the schedules clinic date to avoid a $50 clinic fee and that a $50 clinic fee may be charged if less than 25 shots are given at my clinic.
Bill Insurance? *
Bill Company? *
**A 5% DISCOUNT WILL BE APPLIED IF YOU WISH TO PAY IN FULL ON THE DAY OF THE CLINIC**
Individual Pay? *
(For those without insurance wanting to pay cash price.)

 

CNS Immunization Clinic
2820 S. Redwood Road
West Valley City, Utah 84119

VIEW MAP

Phone: (801) 207-8777
Fax: (801) 207-8776

Click here for clinic hours

Worksite Flu Immunization Clinics
CNS offers mobile flu clinics for businesses and other organizations from September through November, often at no cost to the businesses themselves. CNS will bill individual insurance providers or accept payment from individuals or businesses.  

Why choose CNS for your Employee on-site flu clinic.