Additional Information

Last updated September 9, 2026
Created December 11, 2021
Format application/pdf
Form Number https://forms.mgcs.gov.on.ca/dataset/4fac9677-268c-48a0-ad25-394d7d619a64/resource/711310da-9d88-4209-ad9a-75a0518874c0/download/4455-64f.pdf
Form File Identifier 014-4455-64f
Name French - 014-4455-64f - Universal Influenza Immunization Program Pharmacy Form
Form File Status Available
Description
Language French
Functionality Fill, Print, and Submit
Form File Content Type Form
Remark
Edition Date 2026-06