COPYMonkseaton Vaccinations Reserve List

Monkseaton Covid Vaccination Centre, Whitley Bay

Reserve List

Lobley Hill Pharmacy is running a NHS Covid Vaccination centre offsite
at the Monkseaton Methodist Church in Whitley Bay.

Vaccine bookings for our service can be made through the NHS national booking system.
Web: www.nhs.uk or Phone: 119

We are also keeping details of people on a reserve list to ensure we do not waste any vaccine.
If you would like to go on the reserve list please fill in the details below.

Please note by putting your details on this list it does not guarantee that an appointment will made.
You will be contacted if we are able to offer you a vaccine appointment (Usually at short notice).

In the meantime you should still try and book in via the NHS Booking system.

Please note:- The staff at Pharmacy in Lobley Hill will not be able to help with any queries related to the Vaccination Centre if you need to get hold of the vaccination centre please use the contact form here

Details

* Indicates required field

Name *

First

Last

Email *

Contact Phone Number *

Age *

NHS Number (This can be found on your letter, text or any prescriptions you may have) *

Have you been called up to have a vaccine via letter or text? *

Yes No

Are you employed in the Health & Social Care? *

Yes - Healthcare Yes - Social Care No

If you are employed in Health or Social Care please state your employer *

Any Comments you wish to pass on to the vaccination team *

2nd Dose Reserve List

For those who have not been able to get an appointment for their second vaccine

Please only fill this part in if you are wanting to go on our reserve list for a second vaccine

Which vaccine have you had? *

Astra Zeneca / Oxford Pfizer BionTech Moderna

What date did you have your first dose? *

Where did you get your first Vaccine? *

Submit