Corporate Flu Package

Maroondah City Council’s

Corporate Flu Package

Thank you for your enquiry regarding Maroondah City Council’s Corporate Flu Package.

Did you know that the number of flu cases increased by 26,600 from 2014 to 2015?

Council offers a Corporate Flu Package to all eligible businesses located within Maroondah City Council’s municipal boundary. Having an annual flu vaccination can reduce the severity of flu symptoms, the spread of flu amongst the community and the economic impact on businesses.

Our Immunisation Team aims to exceed its customers’ expectations by providing a service that is reliable, professional and tailored to the needs of the community. We focus on five principles to ensure the highest service delivery is achieved; community focus, values, consistency, responsiveness and continuous improvement. The implementation of these principles is supported by a quality management system which is certified to the International Quality Standard AS/NZS ISO 9001:2015.

Please find attached the Corporate Flu Package Request Form. Please complete this form and return it to the Immunisation Team at . This form must be submitted at least 2 weeks prior to the proposed immunisation date for consideration.

Your request form will be processed and a member of the Immunisation Team will be in contact with you within 5 working days to find an appropriate date and time to deliver the Corporate Flu Package at your business.

If you have any questions regarding the Corporate Flu Package, please contact the Immunisation Team on 9294 5627.

Kind regards

Christine Dalgleish

Immunisation Coordinator

Community Health Services

CORPORATE FLU PACKAGE

REQUEST FORM

Thank you for submitting a request to have your staff flu program completed by Maroondah City Council’s Immunisation Services.

All staff requesting a vaccination must complete the Corporate Flu Package Consent Form. This form will be provided to you for distribution if your request is approved.

This form must be completed and submitted by email to , atleast 2 weeks priorto the proposed immunisation date.

Business Details

Business Name
Business Address
Contact Person: Name
Contact Person: Number
Contact Person: Email
Approx number of staff likely to receive the flu vaccine

Vaccine Information

Vaccine Brand / Diseases Covered / Doses Required / Cost Per Dose
Quadrivalent Flu / 4 Strains of Influenza / 1 dose annually / $25.00

Date, Time & Location Details

Preferred Day of the Week
Preferred Time [please tick] /  Morning
 Afternoon
Designated Immunisation Room ie Meeting Room 3a

The Immunisation Team will do their best to accommodate any specific date or time requests, however, all immunisation sessions are subject to availability.

Signature

I confirm that the above information is true and correct. I acknowledge that this is a request for immunisation services only and subject to approval.

______

CEO/Executive Assistant Signature CEO/Executive Assistant Name in Print Date