You have been added to the COVID-19 vaccine appointment list at Southern Pharmacy – Leachville

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A Southern Pharmacy staff memeber will contact you shortly to schedule your COVID-19 vaccine appointment

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Please follow the steps below to streamline the vaccination process

 

1.  If possible, print and complete the COVID-19 Immunization Consent Form located here: 

COVID-19 Immunization Consent Form

 

2.  Review the Vaccine Recipient information located here:

Vaccine Recipient Information

 

3.  Bring the following documents to your vaccination appointment:

Completed and Signed COVID-19 Immunization Consent Form

Insurance Card or Medicare A/B Card (Red/White/Blue)

 

4. Please arrive at your scheduled COVID-19 Vaccination Appointment at your schedule time.  Due to the storage requirements of the Moderna COVID-19 Vaccine, all doses must be given in a timely manner

If you have any questions, please contact Southern Pharmacy – Leachville at 870-539-6831 or [email protected]