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Check Vaccine Availability with Ease

Fill out the USCIS immigration vaccine availability form,

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Full Name *

Phone Number *

Email Address

What do you need help with? *

Check immigration vaccine availability
I need help understanding which vaccines may be required
I am ready to come in for vaccines

Which vaccines are you looking for?

Flu
Tdap / Tetanus
MMR
Varicella / Chickenpox
Hepatitis B
Polio (IPV)
COVID-19
Other
I'm not sure

Have you already seen a USCIS-designated civil surgeon? *

Yes
No
Appointment scheduled

Do you have your vaccination records?

Yes
No
Some records
I'm not sure

When would you like to come in?

Anything else you would like us to know?

Contact Consent *

I agree that Doctor’s Choice Pharmacy may contact me by phone, text, or email regarding this request.

Acknowledgment *

I understand that Doctor’s Choice Pharmacy provides vaccination services and does not perform the USCIS immigration medical examination or complete Form I-693.

Important: Vaccine requirements vary by age, medical history, vaccination records, and the civil surgeon’s assessment. Your USCIS-designated civil surgeon determines which vaccines are required for your immigration medical examination.

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Phone

(909) 532-5588

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Location

639 N 13th Ave , Upland. Ca 91786

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Email

info@doctorschoicerx.com

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Store Hours

M-F:9am - 5pm
S-S: Closed

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