Skinner's Pharmacy COVID-19 Vaccine Appointment Scheduler

Skinner's Pharmacy COVID-19 Vaccine Appointment Scheduler
Thanks for your interest in a vaccination at Skinner's Pharmacy!

Please review the important information below before proceeding:

We are currently offering the following COVID-19 Vaccines:

Janssen (J &J) - for ages 18 and older

Moderna - for ages 18 and older

Pfizer - for ages 12 and older**

** We do not currently have the Pfizer vaccine for ages 5-11.

Vaccine supply can change on a daily basis. If you have a preference for a specific vaccine, please contact us after making your appointment to confirm availability.

**** Please Note ****

Patients under the age of 18 are required to have a separate consent form, completed by their parent/guardian. A copy of that form can be found here: Under 18 Consent Form
Patient Information
Name *

First Name Last Name
Gender *

Male Female
Date of Birth *

Month Day Year
Date
How old is the patient who will receive the vaccine? *

12-17 ** 18+
Cell Phone Number *
Zip Code *

Street Address

Street Address Line 2

Postal / Zip Code
Email *
example@example.com.
** Please note, email addresses cannot be used more than once. If you're signing up for more than one person, you must use a different email address each time.
Select An Appointment
There is a different calendar for each day of available appointments.
Monday Appointments
Tuesday Appointments
Wednesday Appointments
Thursday Appointments
Friday Appointments
After submitting this form, please follow the link to complete the screening/consent form. The form is required. Please complete it prior to your appointment.

If you have any questions please contact us.

Email: info@skinnerspharmacy.biz

Phone: 310-377-4871

Thank you!
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Skinner's Pharmacy COVID-19 Vaccine Appointment Scheduler

Patient Information

** Please note, email addresses cannot be used more than once. If you're signing up for more than one person, you must use a different email address each time.

Select An Appointment