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On April 7th, we received a very limited supply of the Moderna COVID-19 vaccine. At this time, all appointments have been booked for those doses.
If you would like to be placed on our waiting list or list of those to contact in case of extra doses, please complete the below consent form. Although you will not be able to schedule an appointment at the end of the form, once you reach the scheduling page, your information has been submitted and there is no need to confirm that we have received it.
If you received your first dose of the Moderna vaccine with us, your second dose was scheduled when the first dose was administered and you do not need to continue to scheduling after completing the below consent form, but we do need an additional form completed for the second dose.
If you have further questions that have not been answered above, please email firstname.lastname@example.org as we are unable to accomodate phone calls about COVID-19 vaccinations at this time.