Covid-19 Wait List - DO NOT CALL
If you are interested in receiving the Covid vaccine please leave your name, age, and a telephone number where we can reach you directly. If you are contacted by pharmacy staff, then please print and fill out the form below. It must be completed and brought in with you on the day of your vaccination. Failure to do so will result in your appointment being rescheduled or canceled.
Currently, only patients who are 40+ can receive the vaccine (this may change as we receive more information and will be updated). Staff will follow up with patients as vaccines become available. Please do not call the pharmacy about vaccine availability or scheduling!
Covid-19 Consent Form
Please click on the PDF icon to find a printable Covid-19 consent form. This form must be completed and brought in the day of your vaccination.