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