COVID-19
Vaccination

STEP 1

Please click the button below to download and fill out the COVID-19 Consent Form.  This form is required by the state of New York to receive a COVID-19 vaccination and must be provided to our staff prior to your appointment.

 

Download Adult Form

(Ages 12 Years and Older)

Download Child Form

(Ages 5 - 11 Years Old)


STEP 2

Book Your Appointment Online

 

Book an appointment with Heritage Chemists using Setmore