Please return all your open and unopened doses of publically funded influenza vaccine received from Public Health back to your local public health unit by June 6, 2022

This is vaccine you would have received from your local Public Health Unit or, for acute sites, directly from BCCDC.

Complete the table below and include this with your package of returned influenza vaccines.

If you do not have any doses to return for a specific vaccine, please indicate “0” in the “Total Doses Returned” column for that product and return this form to your local public health unit.

Name of facility/site:
Phone number:

Lot #
Expiry date
Total doses returned
(indicate "0" if no doses to return)
Fluzone Quadrivalent      
FluLaval Tetra      
Fluzone High-Dose Quadrivalent      

Thank you for your assistance with influenza prevention and for helping us plan for the upcoming Influenza season.

If you have any questions, please contact your local public health unit.

Note that the MHO Office no longer faxes MHO newsletters to physician offices. Subscribe to our email newsletter to continue receiving the latest updates.

Go to or email with your name, phone and fax number to sign up.

Download MHO update in PDF format.

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