Consent for Minors under 18 years to receive vaccine

Each Minor’s parents or legal guardian is required to fill out a consent form and be accompanied with the child in order to receive the vaccine.

Consent Form

Consent for Individuals Under 18 Years of Age

( MINOR WHO WILL RECEIVE THE COVID-19 VACCINE )

The owner of this website has made a commitment to accessibility and inclusion, please report any problems that you encounter using the contact form on this website. This site uses the WP ADA Compliance Check plugin to enhance accessibility.