Richmond Hill Medical Clinic and Pharmacy
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ATTN PATIENTS: We are not currently administering COVID-19 vaccinations and do not have information on when we will receive them.
Please check back for updates.
If you are eligible for a vaccine, please fill out the form below to request an appointment:
*
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
Home
About
Staff
Pharmacy
Patient Education
Contact Us
Family Doctor
Walk-In Clinic
Other Professional Services
Laboratory
Diabetic Clinic
Smoking Cessation Clinic