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Allergy Vaccine Refill
LVVD
4580 Crackersport Rd
Allentown, PA 18104
(610)391-1200
To schedule an appointment,
click here
or call 610-391-1200
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Form - Allergy Vaccine Refill Form
Name
First Name
Last Name
Pet Name
Phone
Phone Type
Phone Number
Cell
Fax
Home
Work
Shipping Options
Do you want to pick up your vaccine or have it shipped
Pick up at Lehigh Valley Vet Derm
Ship vaccine
Please include detailed shipping address if you would like the vaccine shipped
Are you able to sign for the package? You must be home for delivery!!
yes
no
If unable to sign for the package, do you accept responsibility for lost, misplaced damaged items
I accept full responsibility
No (the item cannot be shipped)
Once the form is completed, follow link above for "Allergy vaccine payment" or call the office
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