UHWO Mobile Vaccination Clinic
UHWO/Queens COVID vaccination clinic 8/23 (7:30am-3:00pm)Please print and complete registration form, consent form (if under 18 years old), and pre-screening forms.

Registration Form:
https://bit.ly/3xOs6SW
Consent Form (if under 18, parent signature is required):
https://bit.ly/3g81Htg
COVID-19 Vaccine Pre-screening Form:
https://bit.ly/3AHhQ0s

Booster and 3rd doses attestation form:
https://bit.ly/3o6Eah2
*Booster: 180 day minimum between 2nd dose and booster; Pfizer only.
Signature required on attestation form please.
*3rd dose: Immunocompromised individuals only, 28 day minimum between 2nd and 3rd dose.
Moderna and Pfizer only.
Signature required on attestation form please.

Fact sheets:
Pfizer: https://bit.ly/3i4WqDJ
EUA Fact sheets:
Janssen: https://bit.ly/3CObHS7

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