COVID-19 Vaccine Booster

We are providing COVID-19 Moderna vaccine boosters by appointment only.  Please complete and submit appointment request form below, email lynnette@soundretina.com, or you may call this number directly (253) 433-9755 to setup your appointment during business hours from 9am to 5pm weekdays.


Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
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Which office location(s) would you prefer for your appointment?
Preferred day(s) of the week for an appointment?
Preferred time(s) for an appointment?
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact the Vaccine Clinic at (253) 433-9755 if sending highly confidential or private information.