Covid- 19 Vaccine
COVID-19 Vaccine Dose #2 Pre-Registration - Alpine Medical Clinic
We are currently accepting a waitlist of patients awaiting their second dose of Moderna on a last-minute cancellation basis only.
Alpine is currently only permitted to administer the second dose in the case where the dose would otherwise be wasted such as a last-minute no-show.
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I Need Vaccine Dose Number
Dose #2 (FINAL Dose)
My COVID vaccine dose #1 was:
My COVID Vaccine dose was on
Date of Birth
Your Health Care Provider (Province)
Alberta Health Care
Your Health Care Number *
Have you ever been a patient of Alpine Medical Clinic? *
Send me a copy of my responses.
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