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COVID-19 Vaccination Registration of Interest

Complete this form to be notified of vaccine availability from your nearest participating totalhealth Pharmacy. The pharmacy team will contact you if and when they can offer you an appointment.

Please note: Completion of this form does not guarantee vaccine availability or eligibility. Participating pharmacies, and which vaccines they can adminsiter, are determined by the HSE. Some pharmacies can vaccinate patients aged 50 and over or aged 18-34, using the single-dose Janssen (J&J) COVID-19 vaccine. Some may also be able to vaccinate all age-groups active in the National Vaccination Roll-Out plan, using the two-dose Comirnaty (Pfizer BioNTech) COVID-19 vaccine.  The recommended age-groups for each vaccine is subject to change by the HSE; please monitor the HSE website, news and social media for updates.

 

If you have yet to receive your COVID-19 vaccination and wish to avail of one in the pharmacy, please register your interest with your nearest participating branch and they will contact you to confirm your eligibility.

Privacy Notice: By completing this form, you agree that your information will be sent to your chosen totalhealth Pharmacy, who will use the details you provided to contact you and organise an appointment if available. Your information is not stored on this website.
Choose your Pharmacy *
First Name *
Surname *
Date of Birth (DD/MM/YYYY) *
Mobile Number *
Email Address *
PPSN *
Eircode *
GP Name *

* Denotes required field

 
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