Medtronic Vaccination Registration
1. Employee Information
Full Name
Employee ID
Official Email Address
Phone Number
2. Vaccination Information
Select Vaccination Date
Choose your location
Specify your Location
Select Vaccination Types
3. Confirm Registration
Declaration:
  • The personal data collected only for the purpose of Flu shot, Marsh India Insurance Brokers Pvt. Ltd. and its partners will not process any personal identification information for any other purpose. If you have any queries you can reach us @ [email protected]
  • Please download and carry the consent form for the vaccination (Download Consent Form Here)
Mention Medicine / Lab Tests details
Tell us the medicine or lab test required by entering them below:
Medicine / Lab Test Name Quantity Type
+ Add More
OR
Upload prescription
Simply upload your medical prescription to us. Once you submit your prescription, our team will get in touch with you within 1 hour of uploading your prescription
Report/Test Name Report/Test Date Report/Test Type Remove
x
OR
Choose from your uploaded documents
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2. Complete your details
3. Review and confirm your request
Select the sevices you want:
Any Remarks (optional):
Your Cart
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PLACE ORDER
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PatientCare Service Price
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