- Archer HS
- Covid Vaccination Site Info
Covid 19 Vaccine Event
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Documents to be completed for vaccination
*Documents required to be completed for vaccination (preferable to be completed prior to arriving at vaccine clinic):
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Patient Consent Questionnaire Form:
- English: Spanish:
- Important note: Parent/Guardian of unaccompanied minors must initial/sign/date the “Parent/Legal Guardian” line in section C prior to sending their minor to the vaccination clinic.
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Insurance Attestation Form:
- English: Spanish:
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Unaccompanied Minor Consent Form:
(to be completed at home by a parent/guardian if the minor will be unaccompanied during vaccination)- Important note: We will not vaccinate any unaccompanied minor who does not have a completed Unaccompanied Minor Consent Form in his/her possession.
Scheduling Links:
https://app.myirmobile.com/auth/register
https://app.myirmobile.com/auth/event/79da7b1a-bd7f-11eb-a840-e7065952e45e
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