Serving Alert Bay, Sointula, and surrounding communities since 1949 Here Name * First Name Last Name Phone (###) ### #### Checkbox * COVID-19 Booster COVID-19 1st or 2nd shot Flu Shot Shingles Other Date *If selecting COVID-19 Booster* When was your last shot? MM DD YYYY What date(s) are you available * Additional Information / Inquiries Thank you! We will be in touch shortly!