******This is for the BEAVER DAM HOMETOWN PHARMACY location ********
A new submission needs to be completed for each individual family member. Currently we are scheduling for the pfizer vaccine which is approved for ages 12 and older. Please make sure to fill out the entire form until you get to the last page that says Thank You! You should also receive an email confirmation from Jotform. If the person receiving a vaccine is under 18, a parent or guardian needs to attend the appointment also.
**We are also offering the Johnson & Johnson Covid Vaccine any time Monday- Friday 9am-6pm. Walk ins welcome!**