To schedule an appointment, please fill in the required questionnaire so that we can gather information regarding your readiness for COVID-19 vaccination, and offer guidance and instruction to ensure your safety. You will need to provide the following details:
Demographic details
Such as race, ethnicity, gender, age
Medical history
Current/past ailments and allergy information
COVID-19 history
History of any COVID-19 infections, testing or vaccinations
Contact information
Your contact details
Proceed to COVID-19 questionnaire
Please DO NOT register more than once
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