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Online Vaccine Consent Forms
Select your desired vaccination type below. In order to receive a vaccination complete all of the following steps.
Step 1
Vaccination Type
Vaccination Location
Consent Form
Confirmation
COVID-19 Boosters require an appointment all other all other vaccines such as FLU and COVID-19 initial series doses are available in store with no appointment necessary.
COVID-19 Bivalent Booster
COVID-19 Bivalent Booster Vaccine Eligibility
I attest that I qualify for this bivalent booster vaccine because it has been at least 2 months since the completion of my primary vaccination or receipt of the most recent booster dose with any authorized or approved monovalent COVID-19 vaccine.
COVID-19 Vaccine Eligibility
I am registering for the initial COVID-19 vaccine series shot. This is
NOT
for the booster shot.