New Patient Forms
Physical Exam Screening Forms
Parents, guardians, and patients can conveniently fill out the screening questionnaires prior to your well visit. 
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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

Emergency Use Authorization Fact Sheet -English

Screening and Consent Forms
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.


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