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Monoclonal Antibody Appointment Request
Monoclonal Antibody Appointment Request
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Monoclonal Antibody Appointment Request
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  • English (US)
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    Fully vaccinated: At least 2 weeks after the second dose of an mRNA vaccine (Pfizer or Moderna) or 2 weeks after a single dose of Johnson & Johnson COVID-19 vaccine.
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    Other medical conditions or factors (for example, race or ethnicity) may also place individual patients at high risk for progression to severe COVID-19 and authorization of REGEN-COV under the EUA is not limited to the medical conditions or factors listed above. For additional information on medical conditions and factors associated with increased risk for progression to severe COVID, see the CDC website: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medicalconditions.html
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    I acknowledge the information provided is accurate to the best of my knowledge.

    CONSENT TO NOTIFY:

     I consent that Southern Pharmacy may contact me via telephone and/or sms message using the information provided.  Contact information may include REGEN-COV treatment availability, REGEN-COV treatment appointment reminders, and other healthcare information. 

    View the Southern Pharmacy privacy policy here.

    Click NEXT to Sign and Date 

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