Vaccine Information
Bring your completed vaccination screener and consent form to your appointment for a smoother experience. On-site forms are available if necessary.
We highly encourage that you please print and complete the appropriate vaccination screener and consent form, and bring the completed form to your appointment. This will help expedite the process when you arrive at the vaccination location. A form will be provided if you are not able to complete on prior to your visit.
If you need to make an appointment please visit the vaccination page.
| Immunization Vaccine Screener & Consent Form (English) | COVID-19 Vaccine Screener & Consent Form (Spanish) |
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Please review the appropriate Vaccine Information Statement (VIS) below:
- Influenza Vaccine, inactivated or recombinant
- COVID-19 Vaccine Information Sheet - English | Spanish
- Pfizer-BioNTech Vaccine Fact Sheet (5 yrs to 11 yrs of age) - English | Spanish
- Other Vaccines Information Statements - English
Please review other resources below:
- CA digital vaccine card
- After getting vaccinated we highly encourage you use your smartphone and participate in V-Safe to tell CDC about any side effects after getting the COVID-19 vaccine.
Rx Information
Other Outpatient Pharmacy Forms
- Transferring Your Prescription is Easy
Tell us the Prescription, Tell us which pharmacy, We do the rest.
Transfer RX Form
Confidential Patient Information Form (elcaminohealth.org)
