Forms

Please fill out the form below and bring it with you on the day of your appointment. Blank forms are available onsite if you are unable to print it at home.

COVID-19/Flu Vaccine Administration Form

Emergency Use Authorizations (EUA) Fact Sheets for Recipients and Caregivers

Pfizer-Biontech

EUA Fact Sheet for Recipients and Caregivers age 6 months and older  UPDATED 4/18/23

Moderna

EUA Fact Sheet for Recipients and Caregivers age 6 months and older UPDATED 4/18/23

Novavax

EUA Fact Sheets for Recipients and Caregivers UPDATED 10-19-22

Emergency Use Authorizations (EUA) Fact Sheets for Healthcare Professionals

Pfizer-Biontech

EUA Fact Sheet for Healthcare Professionals age 6 months and older - UPDATED 4/18/23

Moderna

EUA Fact Sheet for Healthcare Professionals age 6 months and older - UPDATED 4/18/23

Novavax

EUA Fact Sheet for Healthcare Professionals - UPDATED 10/19/22