2021-2022 Flu Immunization

Step 1: Fill out the consent form below.

Step 2: Call the pharmacy to let us know you have completed the form.

Step 3: Print out the VIS statement below for your records.

Please remember to bring a mask with you. A mask is required to be worn during immunization administration with NO exceptions! If you do not have a mask, one will be provided for the administration.

Your temperature will be taken prior to administration via a non-contact infrared thermometer. If it is greater than 100.4℉, the immunization will not be administered.

Call us with any
questions at

2021-2022 All Other Immunizations

Step 1: Print out the form below, complete it, and

bring it with you to the pharmacy to limit wait times.