MedTime Pharmacy is vaccinating with the Johnson & Johnson 1 dose COVID-19 vaccine.
If you do not have an email or would prefer to give information over the phone, please call the pharmacy at (234) 410-3366. After submitting this form, you will be redirected to a second form to schedule your appointment; you will also receive a link via email. If you do not complete the second form, we cannot guarantee that we will have a vaccine available for you.
Please only complete this form if you qualify for a COVID-19 vaccine in the state of Ohio. For more information, view Ohio's distribution phases here.