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Preparing for a COVID-19 Vaccine Appointment at Schoolcraft Memorial Hospital

April 1, 2021

Forms You Can Review & Fill Out Before Your Appointment

These forms will be given to you when you come to the vaccination site. If you have a printer, you can fill them out ahead of time to save time on registration.

Forms For 1st Dose Pfizer Appointments – Ages 12+

Pre-Vaccination-Screening-Form-July-6-2021Download
Pfizer_Fact_Sheet_for_Recipients_and_Caregivers_Final_REV 6-25-2021Download
Universal-Covid-19-Consent-Moderna-Pfizer-REV-02-22Download
Minor-Consent-Form-Pfizer-Ages-12-And-Over Download

Forms For 2nd Dose Pfizer Appointments – Ages 12+

Pfizer_Fact_Sheet_for_Recipients_and_Caregivers_Final_REV 6-25-2021Download
Universal-Covid-19-Consent-Moderna-Pfizer-REV-02-22Download
Pre-Vaccination-Screening-Form-July-6-2021Download
Minor-Consent-Form-Pfizer-Ages-12-And-Over Download

Forms For 1st Dose Moderna Appointments – Ages 18 +

Universal-Covid-19-Consent-Moderna-Pfizer-REV-02-22Download
Pre-Vaccination-Screening-Form-July-6-2021Download
Moderna-EUA-fact-sheet-recipients_06.24.2021Download

Forms For 2nd Dose Moderna Appointments – Ages 18+

Pre-Vaccination-Screening-Form-July-6-2021Download
Universal-Covid-19-Consent-Moderna-Pfizer-REV-02-22Download
Moderna-EUA-fact-sheet-recipients_06.24.2021Download

Appointments in the Rural Health Clinic

RHC Registration

If your appointment is scheduled in the Rural Health Clinic, please enter through the main entrance. You will screened at the main entrance and then directed to the Admitting Desk in the Rural Health Clinic. Vaccine appointments in the Rural Health Clinic are available on Fridays by appointment only. Please call the hotline to confirm your vaccine location 906-341-3775.

Southtown Drive – Not Currently In Use

Vaccines are by appointment only at our drive-through clinic on Southtown Drive off of US Highway 2 in Manistique Michigan.

Google Maps Link

Download the V-Safe App On Your Smart Phone

Find A Physician Pay Your Bill Online
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