Delaware State University Vaccine Clinic
Only people who got their last COVID shot before 09/01/2022 are eligible
Appointment
If you are having any issues please contact us at pharmacycamden@gmail.com. Thanks.
Appointments
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Only people who got their last COVID shot before 09/01/2022 are eligible
Which vaccine are you getting?
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Moderna Booster
Pfizer Bivalent Booster
Last COVID shot date
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-
Month
-
Day
Year
Date
Name
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First Name
Last Name
Date Of Birth
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Month
-
Day
Year
Date
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Insurance Information
Please bring a copy of your prescription card, that has RxBIN, ID, Group Number. Please look at the sample image below(if you don't have this information on your card then it's not the right one.
Submit
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