Tarrytown Pharmacy: COVID-19 Vaccine
This is a communication list form, so Tarrytown Pharmacy can alert you when the COVID-19 Vaccine is available and whether or not you qualify to receive one at that time. Please answer the questions as applicable to you.

Tarrytown Pharmacy is NOT liable for promising when the vaccine will be available for wide administration.
Please state which of the following apply to you: (If more than one apply, choose only the first option in chronological order) *
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