top of page

Covid-19 vaccination STAND-BY list

Enter in the fields below to be included in our COVID-19 stand-by list.  While we carefully schedule our vaccine allocations, should a patient fail to show for an appointment or other circumstance arise, you can fill out the information below to be placed on a list for contact.  Please note, most cases are "last minute" as vaccine vials are mixed as needed in the morning and expire shortly thereafter. 

*required field

bottom of page