As you know,  the Virginia Department of Health (VDH) and the Blue Ridge Health District (BRHD) have released the Pfizer vaccine to be administered to children as young as 12 years old.  Currently, the BRHD collaborates with LCPS to use the metal gym behind Louisa County Middle School as a vaccine clinic for the community.  

The intent of this survey is to gather contact information for LCPS students who would like to be vaccinated at this site.  Children can also be vaccinated at other clinic sites or with their physician.  Please complete this form ONLY if you would like your child to receive a vaccine at the LCPS metal gym and would like school staff to assist you in scheduling an appointment.  A parent or designated adult must be present with any child younger than 18 years old when he/she is vaccinated.  All participants must have their own transportation.  

The dates of the student clinic are:  June 2 (first dose) AND June 23 (second dose).  Appointments will be scheduled from 2:00 P.M. to 8 P.M.  If your child is unavailable on those dates, you will have the opportunity to schedule an appointment through Dr. Alpern on an alternate date at the metal gym or another BRHD clinic.

Getting the vaccine is VOLUNTARY, and neither LCPS nor the health department is authorized to give advice on who should or should not receive the vaccine.  Please read the information attached to the email that had this survey link and consult your child's physician with any questions.  For additional information about the vaccine, the VDH has a number of resources available at www.vdh.virginia.gov/covid-19-vaccine, including an extensive FAQ section. Additional resources and information are available from the Centers for Disease Control at: www.cdc.gov/coronavirus/2019-ncov/vaccines/index.html

If you have questions about this form, please contact Dr. Carla Alpern, Assistant Superintendent for Pupil Personnel Services, at alpernca@lcps.k12.va.us or 540-894-5115 x7028.