2022 Flu clinic sign up Sept 23rd
2022 Flu clinic sign up Sept 23rd
Name
Name
First
Last
Phone
Phone
-
###
-
###
####
Email
First Time Pref.
12:45 PM
1:15 PM
1:30 PM
1:45 PM
2:00 PM
2:15 PM
2:30 PM
2:45 PM
3:00 PM
Second Time Pref.
12:45 PM
1:15 PM
1:30 PM
1:45 PM
2:00 PM
2:15 PM
2:30 PM
2:45 PM
3:00 PM
Third Time Pref.
12:45 PM
1:15 PM
1:30 PM
1:45 PM
2:00 PM
2:15 PM
2:30 PM
2:45 PM
3:00 PM
You will be sent an email with your time. Please complete the pre-registration form prior to your appointment via the link the below. Additonally, please bring a copy of the front and back of your insurane card. Forms are also available in health services. https://www.riteaid.com/content/dam/riteaid-web/pharmacy/vaccine-central/immunization-information/Immunzation%20Screening%20Form.pdf