COVID-19 Pfizer Vaccine Clinic 8/24/21 Sign Up Form

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The Pike County Health Department will host a COVID-19 vaccination clinic on the Centerpoint High School Campus, free of charge to anyone age 12 and older.
The first round of vaccine was be provided on Tuesday, August 3rd.
The follow up vaccine will be provided on August 24th from 2-5pm at the same location.
You may also get your FIRST ROUND vaccination at this clinic.
If you have insurance, please bring your insurance card, but insurance is NOT required to receive the free vaccination.

El Departamento de Salud del Condado de Pike albergará una clínica de vacunación COVID-19 en el campus de la escuela secundaria Centerpoint, sin cargo para cualquier persona de 12 años o más.
La primera ronda de vacunas se proporcionará el martes 3 de agosto.
La vacuna de seguimiento se proporcionará el 24 de agosto de 2:00-5:00 pm en el mismo lugar.
Usted tambien pueded ponerse su primera vacuna en esta clinica.
Si tiene seguro, traiga su tarjeta de seguro, pero NO se requiere seguro para recibir la vacuna gratuita.

Last Name / Apellido *

First Name / Nombre *

Date of Birth / Fecha de nacimiento *

YYYY

This shot will be my... / Esta vacuna sera mi... *

Second shot to complete the vaccination process. / Segunda vacuna para completar el proceso de vacuna.

My first shot. I will need a second shot in three weeks. / La primera vacuna. Voy a necesitar la sugunda vacuna en tres semanas.

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