Please Wait...

Please wait.

Tulane Uptown Square Flu Clinic Sign Up

Clinic Location
First Name
Last Name
Email
Confirm Email
 

Please bring a printed copy of your completed consent form and a printed copy of your driver's license and insurance card to the clinic. Thank you!
Services I'd like to receive
 
 
 

Need help? Contact us at michele@passporthealthlouisiana.com.


Passport Health is committed to keeping your personal data safe and we take every reasonable precaution to ensure security. Access to your personal information is restricted to employees at Passport Health. Your personal data is used for internal purposes only and is never sold or shared with anyone outside of Passport Health.