SPRING PARK PHARMACY
COVID VACCINE CLINIC
THURSDAY, MAY 13, 2021
AT THE GILLESPIE CENTER
*For people 18 years old and up.
TO SIGN UP,
PEOPLE MUST GO TO THE LINK BELOW:
If you are interested in signing up in our vaccine lottery, visit this
link: https://hipaa.jotform.com/210587138388162

| COVID Vaccine Wait List - JotForm >65 years old Healthcare Worker, including paid and unpaid primary caregivers (similar to a PCA) for people with complex medical needs Childcare worker or Educator I have: Sickle cell disease, Down syndrome, active cancer treatment, organ transplant, COPD, or Heart Failure I have at least 1 high-risk medical conditions listed below* I have at least 2 high-risk medical conditions listed below ... hipaa.jotform.com |
If your name is selected, you will be notified via email to sign up for an appointment.