*****This is for the Northland Hometown Pharmacy******
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. Johnson & Johnson vaccine is also available for ages 18 plus.
Please make sure to fill out the entire form until you get to the last page that says Thank You! You may then call us to set up an appointment! No wait is necessary. (920) 840-6033. If the person receiving a vaccine is under 18, a parent or guardian needs to attend the appointment also.