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GREENE COUNTY PUBLIC HEALTH FLU and or COVID CLINIC APPOINTMENTS
Full Name
*
First Name
Middle Name
Last Name
Phone
*
Birthdate
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email-If you'd like to receive appointment reminder:
example@example.com
Would you like a Flu vaccine, COVID-19 vaccine, or Both?
Flu vaccine
COVID-19 vaccine
Both Flu and COVID-19 vaccine
VACCINE INFORMATION STATEMENT-PLEASE REVIEW!
VACCINE INFORMATION STATEMENT- PLEASE REVIEW!
DRIVE-THROUGH CLINIC: GREENE COUNTY FAIRGROUNDS
After submitting, you will be directed to the registration link.
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