Oct 29, 2025 Vaccine Clinic Registration (Flu/COVID-19)/2025秋冬季疫苗接種診所  Logo
  • Oct 29, 2025 Vaccine Clinic Registration (Flu/COVID-19) / 10月29日流感/新冠肺炎疫苗接種診所登記

    This is the registration form to sign up for the 2025 Vaccine Clinic. 這是2025冬季流感/新冠肺炎疫苗接種診所的登記表。
  • Event detail/ 活動詳情:

    Date / 日期:October 29, 2025 (Wed) / 2025年10月29日 (三)

    Time / 時間:1pm - 4pm / 下午1點 至 4點

    Venue / 地點:Choi Hall, 28W Pender St / 溫哥華片打西街28號 禮和堂

     

    Important Notice: The vaccine clinic provides a crucial community health service prioritizing safe vaccine administration. Please note that individual responses may differ, and we assume no liability for adverse reactions or complications. If you have specific concerns, please consult your health provider. By participating, you accept responsibility for your health decisions and release S.U.C.C.E.S., their staff, and the pharmacist from any related claims or liabilities. Your well-being is our priority, and we appreciate your understanding.

    S.U.C.C.E.S.S. collects, uses and discloses personal information in accordance with the provisions set out in provincial privacy regulations. Protection of personal information is important to us, and information is collected as necessary to meet client service needs, for statistical purposes, and to satisfy government and regulatory obligations. By completing and submitting this form, the client understands and agrees to the provisions set out in the privacy agreement above. Client gives consent to the release of personal information to S.U.C.C.E.S.S. Client certifies that all the information provided is accurate and complete.

     

    重要通知: 疫苗接種診所提供重要的社區健康服務,優先考慮安全的疫苗接種。請注意,個人反應可能有所不同,我們對不良反應或併發症不承擔任何責任。如果您有疑慮,請諮詢您的醫療保健提供者。透過參與疫苗接種診所,您對自己所作的健康決定承擔責任,並免除中僑互助會、合辦機構及其員工和藥劑師的任何相關索賠或責任。您的健康是我們的首要考慮,感謝您的諒解。

    中僑互助會根據省級隱私法規的規定收集、使用和揭露個人資訊。保護個人資訊對我們很重要,我們會根據需要收集信息,以滿足客戶服務需求、統計目的以及履行政府和監管義務。透過填寫並提交此表格,客戶瞭解並同意上述隱私權協議中規定的條款。客戶同意向中僑互助會揭露個人資訊。客戶保證所提供的所有資訊均準確且完整。

  • Please Note 請注意 

    Flu Vaccine Clinic is for 4 years old and up

    疫苗接種診所僅限提供流感疫苗予4歲以上人士使用

  • Please bring your ID and Service Card to receive Vaccine. Please get yourself register with the Get Vaccinated system ahead. You can register online Home (gov.bc.ca) or by phone at 1-833-838-2323, by providing a Personal Health Number.

    請攜帶您的ID卡和醫療卡接種疫苗。 請提前在 Get Vaccinated 疫苗接種系統上登記。您可以透過網上Home (gov.bc.ca) 或致電 1-833-838-2323,提供個人健康號碼進行登記。

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