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Pfizer Covid Vaccine – Chappelle Pharmasave

Chappelle Pharmasave will be administering Pfizer Covid Vaccine.

If you are eligible to get the vaccine or interested in having your name on the waitlist, please register below, we shall send you an email with details of your appointment.

Complete and Submit the below information to get your Covid Vaccine (Pfizer / Moderna).

Walk-in for Pfizer or Moderna Vaccine Anytime

First Name *

Last Name *

If you received your FIRST DOSE at Chappelle Pharmasave, Call 780-250 2494 for the SECOND DOSE, please do not register again.

Birth Date *

Your Email Address *

Home Phone *

Mobile Phone *

Any Medical Conditions? *

Are you Registering for Your Second Dose? *

I live in Chappelle and am able to come to the pharmacy within 10 minutes of receiving a phone call *

Please ensure that you have provided the correct email address. We will send you updates and reminders to this email and texts to your mobile phone.

I acknowledge and consent to signing up to receive Covid Vaccine .................................................................... I understand that submitting this form does NOT guarantee a COVID-19 vaccine appointment and I will only
receive email/text if I am deemed eligible by provincial guidelines to receive the vaccine and vaccine is available YesNo

We will contact you with your appointment details

Eligibility is set by AHS (Alberta Health Services) and may be dynamic as vaccine becomes available. Everyone who wants a vaccine, will get a vaccine. But you may have to wait until people most at risk get vaccinated first. Review the phases to find out when it's your turn https://www.alberta.ca/covid19-vaccine.aspx#phases.

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Pfizer Covid Vaccine – Chappelle Pharmasave