Request a Flu Clinic Appointment

fill out the form below to request an appointment

Important Information & Instructions

FLU CLINIC INFORMATION

Stamford Pediatrics is streamlining Flu Clinic Appointment scheduling by implementing all appointments via an online request system.

Nurse Only Flu Clinics will begin on September 1, 2026. No doctor will be available at the flu clinic.
If your child is coming in for a check-up soon, the flu vaccine will be given at the check-up appointment. Your child does not need to come to a flu clinic.
Please do not call the office to schedule. You will be called back within 3 business days to schedule the appointment(s).
The flu clinic is by APPOINTMENT ONLY. If your child or anyone in your household is sick the day of your appointment, please call to reschedule.
Fill out the information below for only one child and when we call you, we will schedule all your children.

The State of Connecticut requires children under five years old to receive at least one dose of the flu vaccine between August and December each year to attend school or day care.

Flu Clinic Appointment Request

Fill out the form below and someone from our office will call you within 3 business days. Reminder: This form is not to be used for sick or recheck appointments.

"*" indicates required fields

Child's Information

Child's Name*

First Last

Child's Date of Birth

Parent/Guardian Information

Parent/Guardian Requesting Appt*