PHI Release Form
In order to ensure your Protected Health Information is only provided in accordance with laws or with your consent, the following form may be required to release your information to yourself or a third party. If you have any questions on whether you need to complete this form or not, please contact the pharmacy and we will be more than happy to help you out.
Immunization Screening and Consent Form
To expedite the process for you to receive your requested vaccinations, please print and complete this form prior to coming to the pharmacy. Our friendly staff will help you out with the rest during your visit.