Αποτελέσματα Αναζήτησης
All Patients: I acknowledge receipt of Giant Eagle’s Notice of Privacy Practices and authorize the release of immunization information to Federal and state authorities and to any covering health insurance provider(s).
What vaccine or vaccines are you interested in receiving today? Check all that apply. A pharmacist will review your answers to determine what vaccines you are eligible to receive today.
administration of the vaccine(s) marked below by a Giant Food pharmacist. Where applicable and accepted by state regulations, I. consent to my vaccine being administered by a Giant Food pharmacy intern. I acknowledge I have the right.
Completed Authorizations may be fulfilled by the pharmacy or may be faxed, emailed, or mailed to: Giant Eagle Privacy Office, Attn: Profiles Coordinator, 101 Kappa Drive, Pittsburgh, PA 15238 412-967-4966 (phone); 412-968-9367 (fax); privacyoffice@gianteagle.com.
I understand the benefits and risks of the vaccine(s). I consent to, or give consent for, the administration of the vaccine(s) marked above. I authorize the information to be forwarded to my primary care physician, authorizing physician or local Dept. of Health if applicable.
2 Φεβ 2021 · Those eligible for vaccination at this time must register to receive it by booking an appointment at the Giant Eagle website.
You can use any of these options (MRN number / Emirates ID or Passport number) to download your vaccination card. DHA facilities and systems use these numbers as unique identification of patient's medical history and the care that he/she received.
