COVID-19 VACCINATION INFORMATION

Thank you! Your Form has been submitted.
Please be sure you have completed BOTH forms!
COVID-19 Recipient Vaccination Questionnaire
Patient Registration Form-Mass Vaccination
Once your forms have been received, we will contact you to schedule an appointment.
If you have any questions regarding the vaccination process, or wish to call to schedule/reschedule an appointment please call:
910-753-4429 or 910-753-4430 or 910-875-3717
.

MORE INFORMATION
Your best shot at stopping COVID-19
En Espanol
Tu mayor oportunidad contra el COVID-19
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