Skip to content
Special Announcement August 11, 2018

Lopez Island Pharmacy

Lopez Island Pharmacy

  • Home:
  • Where we’re at:
  • Forms:
  • Weather:
  • Insurance Information We Need:
  • Online New Patient Form-Fill In:
  • New Patient Information Form:
  • Can I return the medication:
  • Screening Questionnaires for All Vaccinations:
  • New Prescriptions and Transfers of Prescriptions from other Pharmacies:
  • How to order a refill of a prescription we have filled for you before:
  • Health Care on Lopez Island:
  • Helpful information on using our pharmacy:
  • Prescription Drug Insurance-Things you need to know:

Website Breadcrumbs

Home
Screening Questionnaires for All Vaccinations

Screening Questionnaires for All Vaccinations

Use this form for Influenza Only:  Patient Informed Consent Form for Influenza(WEB) MASTER

Use this form for all other vaccinations, i.e. not to be used for Influenza(Flu) vaccinations

Vaccination Consent Form(Not for Influenza) rev:09/14/2015

Share this:

  • Twitter
  • Facebook

Like this:

Like Loading...

RSS Healthcare News

  • Shortages Looming for Respirators, Masks, Gowns March 27, 2020
    Only about 12% of facilities have been able to get supplemental PPE from federal resources, compared with 25% that have drawn from local donations and 17% from do-it-yourself efforts to cobble together masks and gowns, results show. State and local governments have supplied PPE to 29% of facilities surveyed.
  • Respirator Masks - In Short Supply March 27, 2020
    As the coronavirus pandemic stresses the U.S. health care system, personal protective equipment -- including high-tech masks -- are in desperately short supply.
  • How Three Countries Have Kept COVID-19 In Check March 27, 2020
    Although the United States missed its chance to head off a COVID-19 epidemic, and is well on its way to becoming the pandemic's new epicenter, these lessons drawn from other countries could still be used to help manage infections in the months and years ahead, Adalja and Kullar said.
  • Measuring Social Distancing to Slow COVID-19 March 27, 2020
    It takes multiple measures of social distancing to slow the spread of the new coronavirus, a study from Singapore concludes.
  • What Coronavirus Precautions Do You Really Need? March 27, 2020
    Groceries, deliveries, takeout food – can we bring them into our homes safely in the middle of a pandemic? How do we keep our homes clean? Tips and tricks to help you stay safe.
Powered by WordPress.com.
%d bloggers like this: