The consent form below is necessary to receive your shot. If you have a printer, please print, fill out and bring to your vaccination appointment.
Below are PDF documents for your information:
- Moderna Fact Sheet for Recipients – English
- Moderna Fact Sheet for Recipients – Spanish
- V-safe Information Sheet
V-safe is a smartphone-based tool that uses text messaging and web surveys to provide personalized health check-ins after you receive a COVID-19 vaccination.