Covid-19 Vaccine Registry

Clinica Family Health is now registering patients and community members who are over the age of 18 for Moderna Covid-19 vaccines.

If you are interested in getting a Covid-19 vaccine, please complete this form just once. We will give you options for where you can get a shot when we call to schedule your appointment. Sometimes we are able to get an extra vaccine from a vial, so calls might come at short notice. You will not be penalized if you cannot come at short notice. We will contact individuals in the order that they signed up. While we will contact as many people as possible, signing up on this registry does not guarantee that we will be able to provide you with a vaccine. Please do not call Clinica to schedule a vaccine appointment. Our staff will call you when we have an appointment available.

Thank you and stay well.

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