COVID-19 VACCINE

 

VACCINATION APPOINTMENTS

We are currently scheduling vaccination appointments using the Moderna vaccine.

Due to the vaccine storage and use requirements, we must ensure that we utilize all available doses and appointments may need to be adjusted.

If there are no appointments available, you may join the waitlist by filling the form below.

WHICH VACCINE WILL YOU HAVE?

We currently have Moderna which is a 2 dose series. As time progresses, this may change based on availability.

HOW DO I KNOW WHAT PHASE I AM IN?

Please visit the following site:
https://form.findyourphasewa.org/210118771253954

WHAT DO I NEED TO PROVIDE?

  • Please bring your insurance card. There is no fee for the patient.

  • Either a print out or screenshot of your phase eligibility.

  • Prior to your appointment, review the files below. Read through the vaccine information sheet. Print, fill out, and bring the "first shot" files. For your second dose, do the same (but the "second shot").

  • If this appointment is for your second dose of the COVID-19 vaccine, please bring your vaccination card with you to your appointment.

  • You will need to remain on site for 15-30 minutes after receiving your vaccine.

  • A face covering, COVID screening, and vaccine consent form are required. 

FILES

 

MODERNA VACCINE RECIPIENT INFORMATION SHEET

Read through the vaccine information sheet prior to your vaccination appointment.

FIRST DOSE

Download, print, and bring FILLED out form to your appointment. Single file includes both a vaccine consent form and COVID-19 screening form.

SECOND DOSE

Download, print, and bring FILLED out form to your appointment. File includes only the COVID-19 screening form. Make sure to bring in your vaccination card.

COVID-19 waitlist. Please submit the following information. We will contact you once the vaccine is available to schedule.

 

Phone (425) 293-0107

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