Clinical Partners Forms and Documents

Community Partners

Agencies that utilize Janzen's as their dedicated pharmacy provider have access to on-site influenza clinics as no charge, as vaccine availability permits.  Many community agencies are considered high-priority for vaccine; however it is possible that some community availability may occur prior to receiving larger quantities for community clinics.

Update: 2021-10-22 - We have received a smaller than expected initial distribution of vaccine and will be starting to book organizations as vaccine permits.  We expect to be able to obtain further vaccine within the next 10-14 days and begin to firm up additional dates.  -Greg

2021-2022 Influenza Program

  • Consent forms will be posted on this page when available.
  • Please ensure that all forms are completed prior to your scheduled clinic date
  • Janzen's will contact your agency to schedule a site visit by the NP
  • Please do not call the store locations, we will be calling to advise of a scheduled time and date.


2021-2022 NP Influenza Consent Form