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Vaccine Links to Form
Influenza

Fill out electronically:

https://islanddrug.echosign.com/public/esignWidget?wid=B43XDGLEK4FWXD

PDF:

 http://www.islanddrug.com/docs/InfluenzaAdminFormLaConner.pdf

Influenza VIS http://www.cdc.gov/vaccines/hcp/vis/vis-statements/flu.html

 

Adacel/Boostrix

 

Fill out electronically:

https://islanddrug.echosign.com/public/esignWidget?wid=B43XD55A7B5W47   

PDF:

http://www.islanddrug.com/docs/AdacelAdminFormLaConner.pdf

Adacel VIS http://www.cdc.gov/vaccines/hcp/vis/vis-statements/tdap.html
Gardasil

Fill out electronically:

https://islanddrug.echosign.com/public/esignWidget?wid=B43XCU2C3N3X4S   

PDF:

http://www.islanddrug.com/docs/GardasilAdminFormLaConner.pdf

Gardasil VIS http://www.cdc.gov/vaccines/hcp/vis/vis-statements/hpv-gardasil.html
HIB

Fill out electronically:

https://islanddrug.echosign.com/public/esignWidget?wid=B43XDXX86Y4HXP

PDF:

http://www.islanddrug.com/docs/HibAdminFormLaConner.pdf

HIB VIS http://www.cdc.gov/vaccines/hcp/vis/vis-statements/hib.html
HEP A

Fill out electronically:

https://islanddrug.echosign.com/public/esignWidget?wid=B43XDA6B6Z2MXF

PDF:

http://www.islanddrug.com/docs/HepAAdminFormLaConner.pdf

HEP A VIS http://www.cdc.gov/vaccines/hcp/vis/vis-statements/hep-a.html
HEP B

Fill out electronically:

https://islanddrug.echosign.com/public/esignWidget?wid=B43XDE663NXR76

PDF:

http://www.islanddrug.com/docs/HepBAdminFormLaConner.pdf

HEP B VIS http://www.cdc.gov/vaccines/hcp/vis/vis-statements/hep-b.html
HEP A&B

Fill out electronically:

https://islanddrug.echosign.com/public/esignWidget?wid=B43XDD62Z34X64

PDF:

http://www.islanddrug.com/docs/HepA_BAdminFormLaConner.pdf

HEP A&B VIS  
MMR

Fill out electronically:

https://islanddrug.echosign.com/public/esignWidget?wid=BGS8T5XV5M3F6B

PDF: 

http://www.islanddrug.com/docs/MMRAdminFormLaConner.pdf

MMR VIS http://www.cdc.gov/vaccines/hcp/vis/vis-statements/mmr.html
Pneumonia

Fill out electronically:

https://islanddrug.echosign.com/public/esignWidget?wid=B43XDK5737XY4K

PDF: 

https://islanddrug.echosign.com/document/cp/S2AAABLblqZhBDfyZ4T_eZRNn1amGDDg/PneumoAdminFormLaConner.pdf

Pneumonia VIS http://www.cdc.gov/vaccines/hcp/vis/vis-statements/ppv.html
Shingles

Fill out electronically:

https://islanddrug.na1.echosign.com/public/esignWidget?wid=CBFCIBAA3AAABLblqZhAh12I-0cyGpS-9rz8f9TZVsgSWqkXyArWGFScEHGrXbpaXfj3BBxVGn0jYhtq4nbs

PDF:

http://www.laconnerdrug.com/docs/ShinglesForm_LaC.pdf

Tetanus

Fill out electronically:

https://islanddrug.echosign.com/public/esignWidget?wid=B43XDL63XP75XP

PDF:

http://www.islanddrug.com/docs/TetanusAdminFormLaConner.pdf

Tetanus VIS http://www.cdc.gov/vaccines/hcp/vis/vis-statements/td.html
Travel Form

Fill out electronically:

https://islanddrug.echosign.com/public/esignWidget?wid=BGS8SU5G2S2Q2E

PDF: 

http://www.islanddrug.com/docs/TravelVaccineAdminFormLaConner.pdf

Typhoid

Fill out electronically:

https://islanddrug.echosign.com/public/esignWidget?wid=B43XDM723V78X2

PDF:

http://www.islanddrug.com/docs/TyphoidAdminFormLaConner.pdf

Typhoid VIS http://www.cdc.gov/vaccines/hcp/vis/vis-statements/typhoid.html
Varicella

Fill out electronically:

https://islanddrug.echosign.com/public/esignWidget?wid=B43XDZIXAW3S44

PDF:

http://www.islanddrug.com/docs/VaricellaAdminFormLaConner.pdf

Varicella VIS http://www.cdc.gov/vaccines/hcp/vis/vis-statements/varicella.html