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TotalCare Moderna COVID-19 Vaccine Waitlist
Thank you for your interest in the Moderna COVID-19 vaccine. Please fill out this form to receive text message / email alerts when the vaccine is available.
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Patient Name
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Age
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Your answer
Phone number (must be able to receive text msg)
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Your answer
Email
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Please select all locations you are willing to visit for the vaccine
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TotalCare Chino (13768 Roswell Ave. Chino, CA 91710)
TotalCare Eastvale (13334 Limonite Ave. Eastvale, CA 92880)
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