COVID Vaccine Volunteers to assist with inoculation by The Medicine Shoppe of Shillington.

COVID Vaccine Volunteers to assist with inoculation by The Medicine Shoppe of Shillington.
COVID Vaccine Volunteers
The Medicine Shoppe of Shillington will be conducting COVID 19 inoculations on Saturdays by appointment at the Gov. Mifflin High School Auxiliary Gym in Shillington. Volunteers are needed to help with registration, paperwork, directing people and giving inoculations. While the administrative costs are paid by Medicare and insurance, Dipak will not charge anyone without insurance. Please enter your information below and each week a link will be sent via SignUp Genius.

This form is to sign up for volunteering NOT to receive COVID Vaccine.

The tasks performed by volunteers follow:

Screener - Making sure people arrive at dedicated time frame.
Check In - Making sure the forms are filled out and screening the questionnaire. Writing down the Lot number of the vaccines
Immunizer - A healthcare professional eligible to administer vaccine.
Support Staff - Directing people to go to dedicated chairs. Monitor for 15 minutes wait time after getting the shot.
Volunteer Information (Medical and non medical)
Are you filling out the form to? *

Volunteer Get a vaccine.
Name *
Email *
example@example.com
Phone Number *

Area Code Phone Number
Are you available during week days Monday to Friday? *

Yes No
Any comments?
Are you a medical professional able to immunize? *

Yes No
Type of Provider *
Should be Empty:

Volunteer Information (Medical and non medical)