Covid-19 Vaccine

The Richmond Hill Medical Pharmacy is receiving a limited number of doses of the Moderna vaccine. When we have the supply, anyone eligible as indicated by the Government of Ontario may request an appointment for vaccination.

All Ontario residents 12 and up are now eligible for a first dose vaccine.

For second dose eligibility information, please click here.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Birth Year *

Postal Code *

Health Card Number *

Have you ever received a dose of COVID-19 vaccine? *

Yes No

If yes, which vaccine did you receive? *

Astrazeneca Pfizer Moderna N/A

If yes, please indicate the date of your first vaccination: *

If contacted for a same day appointment, would you be able to get to our location within an hour? (This does not affect eligibility) *

Yes No

Anything else you'd like us to know? *

Submit