Health In Action 2019-2020 Flu vaccination service Application form
Injection Timing at Health in Action Kwai Tsing Community Health Hub:
1. 15/10/2019(Tue) 10 am to 1 pm & 2-5 pm (ended)
2. 17/10/2019(Thurs) 2-5 pm & 6-8 pm (ended)
3. 19/10/2019(Sat) 10 am to 1 pm (ended)
4. 5/11/2019(Tue) 10 am to 1 pm & 2-5 pm (ended)
5. 7/11/2019(Thurs) 2-5 pm & 6-8 pm (ended)
6. 9/11/2019(Sat) 10 am to 1 pm & 2-5 pm (ended)
7. 11/11/2019(Mon) 2-5 pm & 6-8 pm (arranged to reschedule)
8. 16/11/2019 (Sat) 10 am to 1 pm (ended)
9. 18/11/2019 (Mon) 2-5 pm (ended)
10. 23/11/2019 (Sat) 10 am to 1 pm (ended)
11. 25/11/2019 (Mon) 2-5 pm (ended)
12. 5/12/2019(Thurs) 2-5 pm & 6-8 pm (ended)
13. 10/12/2019(Tue) 10 am to 1 pm & 2-5 pm (ended)
14. 12/12/2019(Thurs) 2-5 pm & 6-8 pm(ended)
15. 17/12/2019(Tue) 10 am to 1 pm & 2-5 pm (ended)
16. 19/12/2019(Thurs) 2-5 pm & 6-8 pm(ended)
17. 24/12/2019 (TUE) 10 am to 1 pm(ended)
18. 31/12/2019 (TUE) 10 am to 1 pm(ended)
19. 7/1/2020(Tue) 10 am to 1 pm & 2-5 pm(ended)
20. 9/1/2020(Thurs) 2-5 pm & 6-8 pm (ended)
21. 14/1/2020(Tue) 10 am to 1 pm & 2-5 pm
22. 16/1/2020(Thurs) 2-5 pm & 6-8 pm
23. 21/1/2020(Tue) 10 am to 1 pm & 2-5 pm

Address of injection: Room 901-902, Millenium trade centre, 54-56 Kwai Cheong Road, Kwai Chung, New Territories
If you have any enquiries, please contact us at 36129515 or hia@hia.org.hk

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Privacy Policy and Disclaimer
Health in Action ("HIA") is committed to respecting data-protection regulations. By personal data we mean the details you provide us via our form, e.g. your name and your date of birth.

By using this Website and by registering for our services, you accept that such personal data will be gathered and stored in our databases and will be used by HIA to provide you with the services you have requested.

HIA will maintain appropriate safeguards to ensure the security, integrity, and privacy of your personal data. The personal data collected will not be distributed/revealed to any external organization without your acknowledgment unless required by law, regulations or orders of a competent court.

We reserve the right to amend (that is, add to, delete or change) the terms of this Privacy Policy from time to time.

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English Full Name (same as HKID card): *
Sex: *
Date of Birth: *
MM
/
DD
/
YYYY
HK ID card number(First alphabetical and first 4 digits): *
*Please bring along your Hong Kong Identity Card for vaccination
Daytime contact number: *
Have you registered for being Health in Action's Kwai Tsing Community Health Hub's membership?
Eligibility: Working poor or their family members in Kwai Tsing area can obtain free membershipto enjoy our services. We welcome enquiries on service detail, service charge and application method
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Please select the appropriate date and time session for your vaccination: *
Have you ever received any seasonal influenza vaccination? *
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