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 will be given Monday, April 12 from 2-7 p.m. at the Olney City Park Community Building. Registration is open to individuals 18 and older who live or work in Illinois.