• COVID-19 Vaccine Appointment and Consent Form

    We have Covid-19 vaccines for ages 5 and up. In order to see the restrictions for the vaccine and booster shot, please visit the CDC website: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations.html. Be prepared to show identification to justify your qualification to receive the vaccine. Please bring your insurance card, Drivers License, and if you are getting the booster dose, please bring your old CDC card. For assistance filling this form, please contact Pharmacy at 570-421-6789 or e-mail : poconopharmacy@gmail.com
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  • Please select appointments from Monday to Friday 10-am to 6 pm

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