UMMA-ISOC Health Fair: Patient Registration 
Event Timing: February 1st, 2025, 10:00AM-1:00PM
Event Address:  Al-Rahman Plaza, 1 Al-Rahman Plaza, Garden Grove, CA 92844
Contact: aiqbal@ummaclinic.org
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Email *
Name *
Phone Number *
Services Needed *
*If you would like to receive a COVID or Flu Vaccine, please bring your health insurance card if you have one.
Required
What time will you attend the health fair? *
Are you allergic to Latex? *
A copy of your responses will be emailed to the address you provided.
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