top of page

Please see the required consent and attestation form below. 

Once you are scheduled for the vaccine, please print, complete, and bring the attached consent form to your appointment. Requirements dictate that you have completed copies for both your first dose of the vaccine and second one as well.  If you are receiving a booster shot please also complete the booster attestation.  

NOTE: We recognize you may have called a number of vaccination locations.  PLEASE, if you schedule with us and get a vaccination elsewhere, let us know.  If you are scheduled for an appointment but fail to show, it takes a spot that could be reserved for someone else.

bottom of page