Vaccine Information

PHS COVID-19 Vaccination Forms

Individuals scheduled to receive a COVID-19 vaccination should fill out the Consent Form for the vaccine to be given and bring the completed form to your scheduled appointment.

Please note, if you currently have COVID-19 or have received antibody therapy for COVID-19 within the last 90 days you will need to reschedule.

VSAFE Information Sheet – English

Hoja de información de VSAFE – Español


Moderna Consent Form – English

Moderna Fact Sheet -English

Formulario de consentimiento de Moderna – Español

Hoja informativa de Moderna – Español

Pfizer (12 years and older):

Pfizer Fact Sheet – English

Pfizer Consent Form – English

Hoja informativa de Pfizer – Español

Formulario de consentimiento de Pfizer – Español

Pfizer (5-11 years old):

Pfizer 5-11 years – Screening/Consent Form 

Pfizer 5-11 years – Fact Sheet

Pfizer 5-11 años – Hoja de consentimiento

Pfizer 5-11 años – Hoja informativa

Looking to get a Covid-19 Vaccine?

PHS offers Moderna, Johnson & Johnson, and Pfizer vaccine.
Individuals under the age of 19 must be accompained by a parent/guardian.

Walk-In Covid-19 Vaccine Clinics at PHS
*No appointment needed.

  • Tuesdays from 9 a.m. to 12 p.m.
  • Fridays from 3 p.m. to 5 p.m.

The PHS District offers multiple locations for individuals to receive a Covid-19 vaccination. To find a convenient location near you, check out our resource guide!

Download the COVID-19 Vaccine resource sheet

If you are homebound or have a disability that makes if difficult to get a Covid-19 vaccination, please call our office. A nurse will return your call and make sure you have access to a Covid vaccination.

Questions about the COVID-19 vaccines?
Visit the CDC website HERE to learn more.

*Although mRNA vaccines are preferred, J&J/Janssen COVID-19 vaccine may be considered in some situations. Find out more here.

Information provided in this chart was compiled from the Centers for Disease Control COVID-19 Vaccines page and is current as of January 7, 2022.
Additional information can be found here.

Updated CDC Guidance for Fully Vaccinated Individuals