COVID-19 Vaccine Interest
Skippack Pharmacy & the COVID Task Force have been at the forefront of vaccine administration over the past 5 years through providing vaccines at off-site clinics at schools, churches, pop-up clinics and at the pharmacy. This year is no different --- we now have Kids & Adult Pfizer & Baby, Kids, and Adult Moderna AND Novavax in stock! You do not need to fill out this interest form anymore as we have the vaccines available & you can schedule an appointment online UNLESS you have a baby/toddler under 3 in which you want to be informed of other dates that are not one of the current three baby clinics available in October. www.SkippackPharmacy.com/COVID19
Your Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
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!
Preview PDF
Submit
Should be Empty: