Wayne Health Mobile Unit - Immunization Registration

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Wayne Health Mobile Unit - Immunization Registration

Thank you for joining us for Celebrate Culture, Community & Wellness with UGAMI on August 2!

As part of this event, Wayne Health Mobile Unit will be onsite providing free immunizations and other health services for all community members - no insurance or ID required.

Please complete this short registration form to help us prepare for your visit and ensure we have the services you need ready at the event. All information will be shared securely with Wayne Health for event coordination only.

Full Name *

Phone Number *

Email *

Health Services Needed *

COVID-19 Vaccine

Childhood Immunizations

Adult Immunizations (Shingles shot, Prevnar 20)

Flu Shot

Blood Pressure Screening

Diabetes Screening

General Health Consultation

Cholesterol screening

HIV screening

Required

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