COVID-19 VACCINE

Follow these quick steps below to schedule online to receive either the Moderna, Pfizer, or Johnson & Johnson COVID-19 vaccines (including boosters).

1

Online Form

Complete your consent form online and upload a copy of your insurance card

2

Information

Please review the corresponding Covid-19 EUA/Fact Sheet and V-Safe one-pager

3

Schedule

Schedule your appointment online, or by calling

(806) 350-6337

4

Prepare

Review our "What to Expect" information to find out more about your appointment

CONSENT FORM & INFORMATION

Please review and complete the following two forms to receive either the COVID-19 Vaccine to prevent Coronavirus Disease 2019 (COVID-19) caused by SARS-CoV-2. The vaccine is covered by the State of Texas or the Federal Government and will not be charged to insurance. However, we do need a copy of your insurance to bill the administration fee. You may upload a copy of your insurance within your consent form below, or bring a copy with you at the time of your appointment. Upon completion of your registration forms, you will have the option to download a PDF copy for your records.

Consent Forms

COVID-19 Vaccine Consent Form

Texas Immunization Registry Form

Vaccine Information

V-Safe After Vaccination Health Checker

Use your smartphone to tell CDC about any side effects after getting the COVID-19 vaccine. You’ll also get reminders if you need a second vaccine dose.

Notice of Privacy Practices

Describes how your medical information may be used and disclosed.

SCHEDULE ONLINE

After completing your consent form, please schedule your appointment below. Prior to your appointment, please review our "What to Expect" information below.

Additionally, due to vaccine requirements; we may call you to see if you can come earlier or later. If you miss an appointment, no doses will be held to guarantee your dose.