Vaccine Administration Form
In order to simplify your vaccine visit, we encourage you to download, print and complete the vaccine administration form below. Please bring the completed form with you at the time of your visit.
Release of Medical Records
Transfer or request copies of your personal medical record by downloading and completing the Release of Information form. View instructions on how to complete this form.
Patient care services provided by Take Care Health Services, an independently owned professional corporation whose licensed healthcare professionals are not employed by or agents of Walgreen Co., or its subsidiaries, including Take Care Health Systems, LLC. Walgreen Co. and its subsidiary companies provide management services to in-store clinics and worksite health and wellness centers. Privacy Practices