COVID-19 Booster Dose
This clinic will have BOTH Pfizer and Moderna available. While the CDC along with Will County Health Department have approved mixing vaccine providers, those ages 16 & 17 MUST get Pfizer. Please select your preferred vaccine when scheduling appointment.
Please check the boxes acknowledging these conditions
*
I have my vaccine card or other proof of vaccination
My 2nd dose was more than 6 months ago
This is my first dose - Pfizer
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Booster Appointment Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Zip Code
*
Date of Birth
*
-
Month
-
Day
Year
Date
Please choose your preferred vaccine
*
Please Select
Pfizer
Moderna
Appointment
*
Submit
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