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Please Note: This application is intended for use only by a Long Term Care Facility(LTCF), business, health system, or other organization which has already contracted with Walgreens for an upcoming scheduled COVID-19 vaccination clinic. If you have not yet contracted with us, or if you are an individual customer seeking more information on how to get a vaccine, please visit Walgreens.com for more information on our available COVID-19 services and resources.
First, Please indicate which category your application falls into


Long Term Care Facility Form (I registered with CDC and I have been provided a PK Hash by Walgreens)
Other (I have been provided a Business PK by Walgreens)