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Patient Intake Information

Please select which vaccine(s) you would like to receive at this appointment.

Vaccine Appointment


** ATTENTION! If you would like to book a pediatric COVID vaccine, please read this first! **

For any children LESS THAN 3 YEARS OLD, we need to have a prescription in order to give a vaccine at the Pharmacy.  Please contact your pediatrician before coming in for these appointments, we cannot administer to this age group by law without a prescription on hand from a provider.  Children 3 to 5 years old DO NOT require a prescription.


Mount Horeb Family Pharmacy offers vaccines for the whole family. Please select your date and time, and then select the vaccine you need. If you need a vaccine that is not on the list, just give us a call.

At this time, COVID-19 vaccines are free. All other vaccines are subject to insurance copays or out-of-pocket expenses.

If you need to cancel this appointment, you may do so by emailing

Appointments available for:
  • Covid (any currently eligible doses)
    See if you are up to date or eligible for a COVID-19 vaccine. that second boosters are only available for adults ages 50 years and older and people ages 12 years and older who are moderately or severely immunocompromised.
  • Tetanus/TDaP
  • Shingles
  • Pneumonia
  • Influenza
  • Any other vaccines — please check with staff  for product availability

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