COVID-19 Vaccine Interest
We currently have COVID-19 vaccines available for most age groups through online scheduling. This form is only for babies and toddlers under age 3 if current clinic dates do not work for your family and you would like to be notified when new dates are added. www.SkippackPharmacy.com/COVID19
Your Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Your Email Address
*
An email address we will send the appointment links & clinic information to.
Your Current Babies/Toddlers Clinics Don't Work For Us --- Can You Inform Me Of Other Dates When Added?
6mo-2yrs Moderna
Please put anything else we should know or you'd like to tell us below. Thank you!
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