COVID-19 Vaccine Registration and Information Forms

If you get a call from our schedulers and have an appointment, 

here is what you need to bring:

CDC Pre-Vaccination Checklist Form: Please complete page 1 ONLY. Bring this completed form with you to the vaccination clinic.

CDC Pre-vaccination checklist_Page_1

CVMS Registration and Health Questionnaire Form: Please complete and sign. Bring this completed form with you to the vaccination clinic.

CVMS Registration and Health Questionnaire_Page_1

V-Safe Information Sheet: This form is for you to review after you receive your vaccination.

V-Safe Information Sheet_Page_1

EUA for Moderna Vaccine: This is for you to review facts about the Moderna vaccine.

EUA for Moderna Vaccine_Page_1

EUA for Pfizer Vaccine: This is for you to review facts about the Pfizer vaccine.

EUA for Pfizer Vaccine_Page_1