COVID-19 Vaccine Mandatory Documentation

Before booking into our practice for a COVID-19 Vaccination, the following two documents MUST be returned to our practice.

1. AstraZeneca Vaccine Information

Please print, read, and initial each page of the following.

2. COVID-19 Vaccination Consent Form

Please print, read, and, fill in the following form.

For more Information regarding the Vaccination Process, the Rollout Schedule, advice regarding Pregnancy and Breastfeeding, and Frequently Asked Questions please visit our COVID-19 Information Page below.