Hayden's Pharmacy

Family Owned and Serving the Youngwood and Surrounding Areas Since 1992

COVID-19 BOOSTER VACCINE PROGRAM

How it works

Individual requesting  the  COVID-19 BOOSTER VACCINE must complete the QUICK registration form.

 

Those PREVIOUSLY immunized by Hayden’s Pharmacy Clinical Services will receive an email with a REGISTRATION CODE to make the registration process EASIER!

 

Those NOT PREVIOUSLY immunized by Hayden’s Pharmacy Clinical Services  CAN STILL receive a COVID-19 BOOSTER Vaccine.  Please enter this site and follow the link for NON REGISTRATION CODE as listed.

 

This for the COVID-19 BOOSTER Vaccine ONLY!

COVID Booster Appointment SIMPLE
0% Complete
1 of 4
BEFORE WE START THE REGISTRATION PROCESS FOR THE COVID-19 BOOSTER VACCINE REGISTRATION:

By continuing, you agree:

1) You are 18 years old or older or

2) the parent or legal guardian of a minor patient 12-18 years old or older or

3) the legal guardian of the patient

• You're not experiencing severe symptoms such as severe shortness of breath, continuous pain or pressure in the chest, or persistent fever greater than 102ºF. If you're experiencing severe symptoms, please seek medical attention immediately.

• You acknowledge that your or the minor patient’s information will be used as described in the Hayden’s Pharmacy Notice of Privacy Practices.

• You acknowledge that any portion of the vaccination administration service cost not paid by your insurance or any other federal or state program will be your responsibility. Payment may be due at the time of the test or patients may be billed after the test is performed.

• You agree to receive email communications that contain information about your or the minor patient’s eligibility for COVID-19 vaccination and COVID-19 vaccination future administration appointments.

By selecting "I agree" below, you also have read and accept Hayden’s Pharmacy Clinical Service. *

Standard email is not a secure means of communication and your protected health information that may be contained in our emails to you will not be encrypted. This means that there is risk that your protected health information in the emails could be intercepted and read by, or disclosed to, unauthorized third parties. You are willing agree to accept the risks associated with a non-secure unencrypted email communications from us containing your protected health information, once you click submit.

The services provided by Hayden’s Pharmacy Clinical Services are according to Hayden’s Pharmacy Clinical Services policies and terms.