COVID-19 Vaccine Sign Up

We currently only offer the Moderna Vaccine to individuals 18 and older. Please call ahead to ensure vaccine availability and appointment scheduling.

Procedures For Getting Your Immunization

1. Please print and fill out this immunization form prior to coming for your immunization.

COVID-19 Vaccine Form

2. Print and view Moderna EUA, V-safe information sheets, and What to Expect After Your COVID-19 Vaccine.

Moderna Vaccine EUA

V-Safe Information Sheet

What to Expect After Getting a COVID-19 Vaccine

3. Bring your filled out immunization form and your insurance card to the pharmacy for your immunization.

4. Get your immunization.