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25. September 2021

Forms required for Covid Vaccinations

In preparation for your covid vaccination, we need you to complete the following forms.

New Patient Form (submits securely online)
Covid Vaccination Consent Form

The covid vaccination consent form is required for both first dose and second dose.  As such you would fill out this form each time you have a covid vaccination. Thank you!

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Main Street Medical Centre

71 Main Street, Pialba Queensland 4655

PO Box 1122 Hervey Bay Queensland 4655

Ph: 07 4325 4000

Fax: 07 4124 0660

www.mainstreetmed.com.au

Opening Hours

 

Monday - Friday:                              7:00am - 5:30pm

Saturday:                                          Closed

Sunday:                                            Closed

 

Main Street Medical Centre

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