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Home
Compounding
Blister Packing
Nutritional Supplements
Vaccinations
Meet our Team
Women's Health
Post Operation
Rentals
Sports Braces & Supports
Home Mobility Aids
Joe's Biography
Location
Contact
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YOUR CART
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Please contact us at 250-286-1771 to make an appointment
Covid-19 Symptons Screening Questionaire
*
Indicates required field
Name
*
First
Last
Appointment Day & Time Preference
*
Email
*
Phone Number
*
Cold, Flu or Covid-19 Symptons?
*
No
Yes
Chills, Cough, Sore Throat, Runny Nose?
*
No
Yes
Option 3
Severe or Difficulty Breathing?
*
No
Yes
Shortness of Breath?
*
No
Yes
Problem Waking up or Loss of Consciousness?
*
No
Yes
Feeling Confused?
*
No
Yes
Have you been out of BC in the last 14 Days?
*
No
Yes
Contact with anyone who has/had Covid-19?
*
No
Yes
Option 3
Submit
If you are experiencing any cold, flu or COVID-19 symptoms 24 hours before your Flu Shot Appointment please call us at 250-286-1771 and reschedule your appointment