New Patient Forms
Physical Exam Screening Forms
COVID-19 Forms
Once you’ve scheduled your appointment, we strongly encourage you to complete the COVID-19 Vaccine Screening and Consent Form before you arrive for your appointment. Completing the form in advance will make your visit quicker and easier on the day of your vaccination.
If you are a new patient for COVID-19 Vaccine, please complete a
→ Patient Registration form.
Si es un paciente nuevo para la vacuna contra COVID-19, por favor complete un
→ Registro de Paciente en Español.
Screening and Consent Forms
English:
→ Screening Form
→ Consent Form
Español:
→ Formulario de Examen
→ Formulario de Consentimiento
Reporting Vaccine Reactions
Report an Adverse Event to Pfizer Covid-19 vaccine
If you suspect that you or your child has experienced a reaction from any vaccine, report that reaction to the government.
We value your feedback.
Please tell us how we are doing by completing our Patient Survey.