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Pharmacy: Hopes Pharmacy Vincentia

Address: 1/153 Elizabeth Drive
Vincentia, NSW, 2540

Phone: 02 4441 5777

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Boostrix

Whooping Cough

Duration: 15 min

Boostrix

Covid Vaccination and Flu Vaccination 65+

Duration: 15 min

Covid Vaccination and Flu Vaccination 65+

Covid Vaccination and Flu Vaccination under 65

Duration: 15 min

Covid Vaccination and Flu Vaccination under 65

Covid Vaccination- Pfizer

Duration: 15 min

Covid Vaccination- Pfizer

Flu Vaccination 65+

Duration: 15 min

Flu Vaccination 65+

Flu vaccination under 65

$29.95 privately funded flu vaccination

Duration: 15 min

Flu vaccination under 65

Shingles

Duration: 15 min

Shingles

Travel Vaccines

Duration: 15 min

Travel Vaccines

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First Name*

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Dose

Medicare Number

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Name on card

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I am consenting as a substitute decision-maker (e.g. carer) on behalf of the patient

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Consent to pilot clinical service and costs*

I agree to participate in the pilot and understand the scope of the clinical service. I consent to paying the pilot consultation fee and any costs associated with the service. I understand that if I decide not to proceed with receiving some part of a service, I may still be required to pay for services that have already been provided.

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I consent to participating in the evaluation of the pilot and agree to being contacted to participate in surveys about the pilot. I consent to my administrative health service data being analysed for evaluation purposes.

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This program closes at 4pm AEST July 31st. Do not book a vaccination after this date/time.

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