Please review & complete all 3 steps on this page to set up your appointment for the COVID Vaccine.
Step 1. REVIEW IMPORTANT INFORMATION
-
You must be 18 years old or older to receive this Vaccine.
-
You cannot change manufactures of vaccine. We will only be administering the Moderna vaccine. You can find the EUA for this product here.
-
By booking the appointment you agree to the HIPAA agreement found here.
-
You will need to fill out screening & consent forms on the day of your vaccine.
-
We will have paper copies of all of the above on the day of the event if you would like a paper copy.
-
You will need to plan to wait at the location between 15-30 minutes after your vaccination to be observed by one of our nurses.
Step 2. Fill out Sign up form
Answer all 10 questions and hit submit. Step 3 (Booking your appointment) is only available after submitting this form. Fill out 1 form for every person signing up for the vaccine. If we do not have this form filled out your appointment will be cancelled.
