Buhler Community COVID-19 Vaccine Clinic
Sunshine Meadows Retirement Community is honored to sponsor the Buhler Community COVID-19 Vaccine Clinic.
This event is to be held at the Buhler Senior center, 112 N Main St, here in Buhler.
See you there on September 3rd from 1-3 in the afternoon. 👍
Please use this form to sign up for your vaccine. You are helping in the fight against COVID-19 now and into the future. *ALL THREE VACCINES WILL BE AVAILABLE
Name (First and Last)
Date of Birth (MM/DD/YYYY)
I understand that I must bring and ID and Insurance card with me. (You do NOT have to have insurance to receive the vaccine, but if you do have insurance, this needs to be recorded so that Reno County can receive payment for administering the vaccine. You will NOT be charged anything for receiving the vaccine.)
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Sunshine Meadows Retirement Community.