Rosewood Initiative, Beyond Black, Black Community of PDX, Play Grow Learn

Saturday, 9/25/21 2nd dose Pfizer COVID Vaccine Event at Rosewood Initiative

If you need help signing up for an appointment or interpretation services, call 503-988-8939.  

Si necesita ayuda para registrarse para una cita o servicios de interpretación, llame al 503-988-8939.

Please, DO NOT POST ON SOCIAL MEDIA. Please share only with those who are members of the community this event is focused on serving. Please assist those who may need assistance signing up. 

Community of focus: African/African American/Black, Latinx, Asian, Indigenous, Slavic & Eastern European, Pacific Islander, immigrants, refugees and other people of color eligible to receive vaccines in Oregon. This vaccination clinic will be providing the Pfizer COVID-19 vaccine.

in Oregon. This vaccination clinic will be providing the Pfizer COVID-19 vaccine.

Eligibility: All Oregonians ages 12+. For youth ages 12-14, parental consent is required (a) in-person, (b) written consent, or (c) over the phone. Youth ages 15-17 can consent to their own care.

If you are an intended participant for this vaccination event, please schedule yourself for a time below. This is the first step of securing your vaccination appointment. Remember if someone is eligible, they can bring their whole family/household 12 and older to the site as automatically eligible with them. Each person needs their own appointment.

Vaccination for Youth 12+

  • Youth ages 12+ are now eligible for Pfizer vaccine.

  • We encourage youth to involve trusted adults in their health care decisions.

  • 15-17 year olds: do not need to be accompanied by an adult and do not require parental consent in Oregon

    1. 15 year olds can consent to own medical treatment when providers are physician, physician assistant, naturopath, nurse practitioner, dentist or optometrist

  • 12-14 year olds: must be accompanied by a parent, guardian or someone designated by the parent

    1. If someone other than a parent or guardian accompanies the 12-14 year old, they will need to provide proof of parental/guardian consent. A parent or guardian will also need to be available by phone to answer some medical questions. Proof of consent is either:

      • A signed consent form (available in English and Spanish) or

      • A written or typed note that includes the parent/guardian’s name, their relationship to the young adult, the young adult’s date of birth, a statement saying the parent/guardian consents to the young adult being vaccinated, and the parent/guardian’s signature.

    2. FAQs for parents and people under 18: The frequently asked questions have been updated for youth 12+

    3. Minor Rights: Access and Consent to Health Care: This resource document for providers, parents, and educators provides basic information about minors’ ability to consent to health care services.

    4. OHA Statement on Minor Consent: This states that OHA supports the rights of minors 15 and older to consent to COVID-19 vaccination without parental consent

Please choose your preferred time slot and submit your information. Please keep in mind that these clinics can take an hour or more from start to finish. Please, plan accordingly. To ensure adequate parking, and reduce time waiting in line at the event, please do NOT arrive more than 15 minutes before your scheduled appointment. 

Date: Saturday, July 17, 2021 

Time: 11:00 A.M. - 5:45 P.M. 

Location:  Rosewood Initiative: 16126 SE Stark St, Portland, OR 97233

PLEASE CHECK YOUR EMAIL (including your junk mail folder):

 

PLEASE CHECK YOUR EMAIL (including your junk mail folder):

You will receive a message confirming your time slot reservation. This confirmation will be sent to the email you provide.  Please keep in mind that these clinics can take an hour or more from start to finish. Please plan accordingly. 

This email will be from: Multco REACH and will have the subject line: Pfizer Vaccination Appointment at Rosewood Initiative Pfizer COVID-19 Clinic NEXT STEPS 

For more information about COVID-19 vaccines, please refer to: 

Date: 09/25/2021 (Sat.)

Location: The Rosewood Initiative - 16126 SE Stark St, Portland, OR 97233

Created by:   Multco REACH
 
Already signed up? You can change your sign up.

Time (PDT) Available Slot
12:00pm - 12:15pm  

12:00 PM-12:15 PM (18)

 
All slots filled
Lawontakee Deskins
Curtis Deskins jr
Natalie Sargent
2nd pfizer
Shasta Leming
My first shot
C Jordan
Hadrian Faulkner
2nd pfizer
Gwen Elteto
Emilee Moles
Natkrita Singhapanupat
speak thai no english
Kevin Sanchez
Natalie Snider (2)
Braidda Williams
Kyle Buras (4)
There's four of us coming to get the vaccine at 12:00 12:15
Valerie Edwards
12:15pm - 12:30pm  

12:15 PM-12:30 PM (18)

 
4 of 18 slots filled
Olivia Cortese (2)
Vanessa Mayo
This is for 1st dose Pfizer
Kyle Ford
12:30pm - 12:45pm  

12:30 PM-12:45 PM (18)

 
2 of 18 slots filled
LaKesha Roper
Chailen Burton
12:45pm - 1:00pm  

12:45 PM-1:00 PM (18)

 
5 of 18 slots filled
Hannah sleight
this is for my 1st dose
Yadira Velazquez (4)
1st COVID vaccine
1:00pm - 1:15pm  

1:00 PM-1:15 PM (18)

 
4 of 18 slots filled
Tim Arnold
Laura Brandt (2)
Ella Daniels
1:15pm - 1:30pm  

1:15 PM-1:30 PM (18)

 
3 of 18 slots filled
Rosenda Machen
Savanna Carrillo (2)
2nd dose
1:30pm - 1:45pm  

1:30 PM-1:45 PM (18)

 
1 of 18 slots filled
Nadir Nawas
Second Dose 9/25
1:45pm - 2:00pm  

1:45 PM-2:00 PM (18)

 
4 of 18 slots filled
Shelbi Jeane Shaw
Mariann Sanchez
Dora Argueta
Micheal Collicott
2:00pm - 2:15pm  

2:00 PM-2:15 PM (18)

 
1 of 18 slots filled
Crystal Duke
2nd dose pfizer
2:15pm - 2:30pm  

2:15 PM-2:30 PM (18)

 
5 of 18 slots filled
A Flo (5)
2:30pm - 2:45pm  

2:30 PM-2:45 PM (18)

 
5 of 18 slots filled
Kyle Ford
Alicia Johnson (3)
Sherry Willford
I get my second shot and gift card YAYYY!
2:45pm - 3:00pm  

2:45 PM-3:00 PM (18)

 
3:00pm - 3:15pm  

3:00 PM-3:15 PM (18)

 
3 of 18 slots filled
Emil Winfrey (3)
3:15pm - 3:30pm  

3:15 PM-3:30 PM (18)

 
2 of 18 slots filled
Collette Monks
B D
All the names are visible on the website - not HIPPA compliant
3:30pm - 3:45pm  

3:30 PM-3:45 PM (18)

 
2 of 18 slots filled
Terrence Harris
Kyle Ford
3:45pm - 4:00pm  

3:45 PM-4:00 PM (18)

 
4:00pm - 4:15pm  

4:00 PM-4:15 PM (18)

 
4:15pm - 4:30pm  

4:15 PM-4:30 PM (18)

 
4:30pm - 4:45pm  

4:30 PM-4:45 PM (18)

 
4:45pm - 5:00pm  

4:45 PM-5:00 PM (18)

 
3 of 18 slots filled
Ryan Saub
First dose finally
Frank Schnedler (2)
Me and my wife
5:00pm - 5:15pm  

5:00 PM-5:15 PM (18)

 
5 of 18 slots filled
Shelbi Jeane Shaw
Tammy Galvin
Mario Chacon Betancourt (2)
My first dose and my sisters second dose
Ernest Doty
5:15pm - 5:30pm  

5:15 PM-5:30 PM (18)

 
3 of 18 slots filled
Uriah Mylar
Danielle Burniston
Amy Giffin
5:30pm - 5:45pm  

5:30 PM-5:45 PM (18)

 
7 of 18 slots filled
Karla Chambers Chambers
Chambers
Brian SouliereBrian Souliere
Hard to know why it's not registering keeps saying first &last name
Tammy Galvin
Danielle Nygren
Ernest Doty
Tracye McComber
Need covid shot
Amy Giffin
©2021 SignUpGenius.
All Rights Reserved.
Privacy Policy | Terms of Service  |