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604-533-1041

105 –19475 Fraser Hwy Surrey, BC. V3S 6K7

Vaccination Form

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Surlang Pharmacy

Medicine Centre Pharmacy Surrey

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Vaccination Consent Form

Home / Pharmacy Services / Immunization / Vaccination Consent Form

Download your vaccination consent form here

Instructions

  1. Download The Form
  2. Print and fill out the form
  3. Visit Surlang Pharmacy to receive your vaccination.

Download Vaccine Consent Form 2020

By downloading this form now, you will save time and also ensure you have all the necessary information prior to your visit.

You may also optionally call ahead to let us know when you plan to drop-in.
Call 604-533-1041

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Surlang Medicine Centre Pharmacy

Surlang Pharmacy is a full-service retail and compounding pharmacy providing prescription medications, hormone therapy, veterinary compounding, and health consultations.

Contact Information

Address:
105 –19475 Fraser Hwy
Surrey, British Columbia, V3S 6K7

Tel: 604-533-1041

Fax: 604-533-1051

Email: surlang@medicinecentre.com

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  • Monday9:30 AM - 5:30 PM
  • Tuesday9:30 AM - 5:30 PM
  • Wednesday9:30 AM - 5:30 PM
  • Thursday9:30 AM - 5:30 PM
  • Friday9:30 AM - 5:30 PM
  • Saturday9:30 AM - 4:00 PM
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