Register for Covid-19 vaccine

This page contain Covid-19 vaccine registration form. If you haven’t been invited yet, please fill in below form click register and wait, we will contact you with next steps by email or mobile. Before, please visit this link https://www.oldschoolsurgery.org.uk/the-surgery/contact/ to see where we are located. You can figure out if it’s not too far or estimate travel time to visit us. We usually keep clinics Mon-Fri from 8am to 6pm and occasionally Saturdays or Sundays . This will be clarified later on.


Covid-19 vaccine registration form

Covid19 vaccine registration form
First
Last
dd-mm-yyyy (required)
not required, but very helpful if known
only valid UK numbers (07511223344)
Enter Email
Confirm Email
Address
Address
1st line (required) *
City (required) *
Zip/Postal (required) *
Which dose *