Covid-19 Vaccination Instructions

Anyone who is eligible and who wants a vaccine will be required to sign up for a vaccine appointment through a special website. The office will not be scheduling appointments for Covid vaccines directly. In order to help us plan and ensure we have adequate vaccine supply, please answer the following questions and include an email address that you check regularly. 

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* 1. Are you a patient at Achievable?

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* 2. Name

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* 3. How likely are you to get the Covid -19 vaccine?

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* 4. Do you work in any of the following fields?

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* 5. Are you age 50 or older?

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* 6. Do you have a chronic condition, disability or chronic illness that puts you/the person at a higher risk of serious illness and/or death from Covid-19?

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* 7. Please list the condition(s) here. Please be as specific (Ex. type of diabetes) as possible with your answer. If you have multiple conditions, please list all of them.

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* 8. Please write the best email address so we can contact you to schedule the vaccine appointment. You will be emailed a link to register for the vaccine and it will be administered by Achievable staff. If you do not have an email address, please write your phone number instead.

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