Currently enrolling new patients for compliance packaging

100 East Main Street
Lititz, Pennsylvania 17543

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Customer Forms

– Flu Vaccine Consent Form
– Flu Vaccine Information Sheet
– Shingles Vaccine Consent Form
– Shingles Vaccine Information Sheet
– Pneumonia Vaccine Consent Form

– Pneumonia Vaccine Information Sheet
– TDap (Tetanus) Vaccine consent Form
– TDap (Tetanus) Vaccine Information Sheet
– Medicare Receipt of Goods Form
– Patient Satisfaction Survey

In-Store Vaccines

Register here for all vaccines (ages 5+)

Medicare Enrollment

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Medication Packaging Services

Weight Loss Medications

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