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Consent Forms

Consent forms for vaccination at a pop-up site are available for download here.

Note that downloading these forms does not guarantee an appointment. Appointments must be scheduled through a community partner and are reserved for patients that meet tier qualifications.

Download PDF Consent Forms 

May contain: page, text, and document
Consent (English - all ages)Consent (Spanish)Consent (Traditional Chinese)Consent (Vietnamese)Consent (Tagalog)Consent (Hmong)Consent (Russian)Consent (Mien)

 

Additional languages coming soon, thanks to our partnership with Excel Interpreting.

Resources for other volunteer vaccination sites

Feel free to download the original files and customize them. 

View Consent Template (all languages, Google Slides format)

 

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