Currently enrolling new patients for compliance packaging

(717) 626-2222

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 Covid-19 Vaccine

Register Here (Age)

  

Rapid Testing Info Here

Register Here

Flu and other vaccine form

Medication Packaging Services

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