Home Visit Vaccine Sign Up
Indigenous people 12+, their close contacts and household members can sign up to receive Pfizer COVID-19 at home or a location of your choice.  A midwife from SGMT will come to you to administer the vaccine.
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Email *
Which dose number is this for?
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First and Last name (including middle name) *
Has it been 5 months since your 3rd dose?
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Are there any health concerns we should make note of?
Date of Birth - Month / Day / Year *
MM
/
DD
/
YYYY
Health Card Number (if you have it)
Address *
Phone
What is your preferred way of communicating?
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