COVID-19 and Flu Corporate Vaccine Program Pre-Registration

Kohll's Rx has extensive experience providing corporate flu shot clinics. We also provide organizations COVID-19 primary series and booster vaccinations for their staff. Our process is simple and effective, and each member of your staff can schedule their own vaccine to meet their personal scheduling needs.

Sign-up today, no obligations.

Do you have questions? Ask Pat: pfahey@kohlls.com

Company Name*
Company Address*
Street Address Address Line 2 City State ZIP Code
Company County*
Contact Name*
First Last
Contact Title*
Contact Email*
Contact Phone*
Contact Phone Type*
- This phone is a cell phone
- This phone is a land line
Office Phone
Office Phone Type*
- This phone is a cell phone
- This phone is a land line
Employee & Location Information
By providing details about your employees and locations, we can help plan the right vaccination program for your company.
Total number of employees:
Number of employees working in the office:
Number of employees working remotely:
Number of office locations Kohll's Rx will vaccinate at:
Will you want employee family members vaccinated?
- YES
- NO

COVID-19 and Flu Corporate Vaccine Program Pre-Registration

Employee & Location Information

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Locations:

Employee & Location Information

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