COVID-19 Vaccine Appointment Confirmation

Your COVID-19 Vaccine Appointment has been confirmed at Southern Pharmacy – Monette


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 COVID-19 Vaccine(s), all doses must be given in a timely manner

If you have any questions, please contact Southern Pharmacy – Monette at 870-486-2111 or [email protected]

Additional Resources




Apple App Store Button Link
Google Play App Store Button Link