Pediatric Associates COVID-19 Vaccine Clinic (ages 6 months - 5 years)

We are pleased to offer COVID-19 vaccines for children ages 6 months to 5 years to all current patients of Pediatric Associates.

We anticipate offering weekday nurse visits for COVID vaccines in our Portsmouth office starting as soon as the week of June 27th. Once you have added your child(ren)'s name(s) to the waitlist, we will call you to schedule.

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* 1. Parent/Guardian Name

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* 2. Patient Name and Age

Child 1

Child 2

Child 3

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* 3. Vaccine Preference

Moderna (6 months to 5 years, 2 doses)

Pfizer (6 months to 4 years, 3 doses)

Earliest available / no preference

Other (please specify)

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* 4. Best callback number

Upon completion of this survey (hitting the "Done" button), there is no need for ANY further action.

Thank you for protecting your child and your community!