The Medicine Shoppe Pharmacy COVID-19 Booster Dose Clinic for Residents of the Boyertown Area on Sunday, January 9, 2022.
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This form is for individuals ages 18 and up for the PFIZER and MODERNA COVID-19 Booster Dose ONLY. Please review the information provided below for Booster dose eligibility. You will be required to present your CDC Vaccination Card at the clinic before receiving your Booster for verification and completion purposes.
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The Medicine Shoppe Pharmacy COVID-19 Booster Dose Clinic for Residents of the Boyertown Area on Sunday, January 9, 2022. This clinic is scheduled to take place at the Boyertown Area Senior High School with appointment times between 9am to 11 am.
Please enter the school through the EAST Entrance and the clinic will be held in the 700 Hallway. This entrance is the one closest to the Library. This form is HIPAA compliant and protects the integrity of your Protected Health Information. Please read this form in its entirety.
FORM: The Medicine Shoppe PFIZER or MODERNA COVID-19 Booster Clinic 1/09/21 (jotform.com)
The Medicine Shoppe Pharmacy COVID-19...
Date and Time
Sunday Jan 9, 2022
9:00 AM - 11:00 AM EST
Appointment times between 9am to 11 am
Location
Boyertown Area Senior High School
