Month: March 2021

J & J Vaccine Registration and Consent form – April 12

To register for the April 12 Richland County COVID-19 vaccination clinic, please click HERE Once you have scheduled an appointment, please print and complete the consent form. COVID-19 J & J Vaccine Consent Form Please bring your completed consent form, insurance card(s) and proof of Illinois residency/employment to your appointment. Single dose J & J COVID-19 vaccines […]

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Printable consent forms

Click the link to view and print the appropriate COVID-19 vaccination consent form Moderna first and second doses – Consent form Pfizer first and second doses – Consent form J & J single dose – Consent form

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Online Appointment Scheduling and Consent form for March 25, 2021

To register for the March 25 Richland County COVID-19, please click HERE If you have an appointment scheduled for this Thursday, here is the consent form. COVID-19 Moderna Vaccination Consent Form Please bring your completed consent form, insurance card(s) and proof of Illinois residency/employment at your scheduled time. 1st dose Moderna will be given Thursday, […]

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Consent form March 4, 2021

If you have an appointment scheduled for this Thursday, here is the consent form. COVID-19 Moderna Vaccination Consent Form Please bring your completed consent form, insurance card(s) and proof of Richland County residency/employment at your scheduled time.

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COVID-19 Vaccine wait list update

Richland County COVID-19 vaccine wait list 618-320-1082, Monday-Friday 8 a.m.-5 p.m. Our office has experienced a decrease in the vaccine allotment for Richland County first doses. Therefore, no first dose vaccination clinics are scheduled at this time. Second dose clinics will be held as scheduled and are not affected by the shortage. We are currently […]

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