OCCHD

Any Dose - Pfizer, Johnson & Johnson, Moderna - NERHWC (June 25)

Please review the available vaccination slots below and click on the button to sign up.

ELIGIBILITY: MODERNA & JANSSEN are only approved for use in adults aged 18+, all registrants receiving Moderna of Janssen must be 18 or older on the day of their vaccination. The PFIZER vaccine is approved for use in adults and children aged 12+. All registrants receiving the Pfizer vaccine MUST be 12 or older on the day of their vaccination. Anyone registered for the Pfizer vaccine who will be under 18 years old on the day of their appointment MUST be accompanied by a parent or legal guardian for their appointment. Legal guardians must bring documentation verifying their guardianship status to the child.

DOSE: This clinic is for any dose vaccination. 

VACCINE: All vaccine brands will be available at this clinic.
 

I understand that by scheduling a vaccine appointment I give my consent for the services that I am requesting from the Oklahoma City-County Health Department and its entities/contractors/partners. I understand that:

  1. At my appointment the risks and benefits for these services will be explained to me and that I will have the opportunity to ask questions.
  2. The information regarding myself and the services I receive will be entered into Oklahoma State Department of Health management information systems and may be used for program evaluation, management, and billing services.
  3. I may refuse service at any time.
  4. I will be required to fill out a consent form at the time of my vaccine.  If I refuse to fill out this consent form I will not be given a vaccine even if I have an appointment.

I acknowledge I will receive a copy of the manufacturers COVID-19 Face Sheet for Recipient and Caregivers prior to receiving the vaccine. Vaccine information statements (VIS) for Moderna, Pfizer, and Johnson & Johnson vaccines can be found on the agency website and also at:  www.modernatx.com/covid19vaccine-eua or www.cvdvaccine.com or https://www.janssenlabels.com/emergency-use-authorization/Janssen+COVID-19+Vaccine-Recipient-fact-sheet.pdf 

Date: 06/25/2021 (Fri.)

Location: NERHWC
2600 NE 63rd, OKC, OK 73111

Related files:

Created by:   OCCHD
 
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