Shaw's Center COVID-19 Vaccination Request - BNHC Patients, Brockton Residents, & People who work in Brockton
1 Feinberg Way, Brockton, MA 02301
As of Monday, April 19, 2021: Any person age 16+ is eligible for COVID Vaccination in Massachusetts. Please complete the form below to be contacted to schedule a vaccination appointment.
Someone from our Practice Management team will be in touch to schedule your appointment as soon as possible. Please note that completion of this form does not guarantee immediate COVID vaccination. There may be Waitlists based upon vaccine availability and scheduling. Thank you for your cooperation and patience!
I hereby attest that I live, work, or study in Brockton, Massachusetts. *
Have you ever had an appointment or a COVID-19 test at BNHC (including Brockton High Testing site)? *
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