PRESCRIPTIONS TO PERFECTION
Celebrating 15 Years and Counting!
DELIVERY SERVICE / FRIENDLY AND HELPFUL STAFF /
BUBBLE PACKING SERVICE / VACCINES
In conjunction with the Upper Dublin School District, Eric's RX Shoppe is proud to provide a vaccine clinic
as a resource for the Upper Dublin School District community. Details of the event are below:
Date: Monday, October 6th from 5:00 PM - 7:00 PM
Where: Upper Dublin High School Cafeteria, 800 Loch Alsh Ave, Fort Washington, PA 19034
Vaccine Offered:
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Flu Vaccine - Ages 3-64
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Flu Vaccine - Ages 65+ (High Dose)
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SpikeVax by Moderna Covid 19 Vaccine - Ages 3-11
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mNEXSPIKE by Moderna Covid 19 Vaccine - Ages - 12+
FOR ALL COVID VACCINES:
I understand the benefits of vaccination and possible side effects. I agree to receive the vaccine as part of a shared decision with my healthcare provider (pharmacist).
For a full list of the CDC's Underlying Medical Conditions That Increase a Person´s Risk of Severe COVID-19, click here
Please pre-register and be sure to fill out the insurance section of registration.
IF THIS IS FOR A MINOR, PLEASE REGISTER USING YOUR CHILD'S NAME, DOB, AND ALL OTHER INFORMATION!
If you are under 18, you must have either a parent/guardian present or have the proper consent form(s) printed and signed (NO EXCEPTIONS).
COVID/FLU VACCINE MINOR CONSENT FORM
Registration will close on October 3rd
Any questions, please email us at covidvaccine@ericsrx.com or call us at 215-509-5597 X.2.

