COVID-19
Vaccination

PLEASE READ THESE INSTRUCTIONS CAREFULLY, THEN FOLLOW THE STEPS BELOW

FIRST
"BEFORE SCHEDULING AN APPOINTMENT" you will need to download, print, and fill out the NYS COVID-19 Vaccine Consent Form.  This form must be provided to our staff upon request.

SECOND
fill out and submit the online vaccination appointment request form.  Once you have submitted this form, you will be contacted by our staff to schedule the date and time of your first appointment and to provide you with further instructions.

THIRD
Once you have an appointment date and "PRIOR TO YOUR APPOINTMENT", you must fill out and submit the required NYS COVID-19 Vaccine Form online.

For more facts about the Moderna Vaccine, you can click here

 

STEP 1

Please click the button below to download and fill out the COVID-19 Consent Form.  This form is required by the state of New York to receive a COVID-19 vaccination and must be provided to our staff prior to your appointment.

 

STEP 2

Please fill out and submit the online vaccination appointment request form below:

Please enter numbers only with no spaces.

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