Vaccination Scheduling Form
Springfield Pharmacy | 1154 Baltimore Pike – Springfield, PA 19064Located in the Olde Sproul Shopping Village
We are currently booked for influenza appointments. Please try back another time.
**Vaccine supply is limited. Please keep your appointment or call if you need to cancel or change it. Additionally, due to vaccine requirements, we may call you to see if you can come earlier or later. If you miss an appointment, no doses will be held to guarantee your dose.**
After hitting submit, you will be redirected to our consent form. You MUST fill this out prior to your appointment in order to be eligible to recieve a vaccine. Only those with both an appointment and a completed consent form will be vaccinated. If you require a hard copy of the consent form, please notify the pharmacy prior to your appointment.