Mission Medical will be getting COVID-19 Vaccines.
This is to schedule a COVID-19 Vaccination.
Everyone over 18 is eligible for the Moderna vaccination.
A Mission Medical team member will reach out to you
within 48 hours to finalize an appointment on
Friday, May 7 from 11:00 AM to 4:00 PM

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* 1. Contact Information

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* 2. Birthday

Date

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* 3. Medical Conditions

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* 4. Have you tested positive for COVID-19?

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* 5. Gender

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* 6. Race

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