COVID-19 Vaccination Acknowledgement for
Partners/Staff
The Centers for Disease Control (CDC) recommends that everyone aged 5 years and older should get 1 dose of the updated Pfizer-BioNTech or Moderna COVID-19 vaccine to protect against serious illness from COVID-19. People who are moderately or severely immunocompromised may get additional doses of updated COVID-19 vaccine.
I have read or had explained to me information on the COVID-19 vaccine and understand the risks and benefits of the vaccine. I have had a chance to ask questions which have been answered to my satisfaction. I understand the benefits and risks of the vaccine. I acknowledge that I have been provided with information on acquiring the COVID-19 vaccine.