Immunization Clinic form

Click the image below to view flyer:

Click the following link below to fill out .PDF form:

Patient Registration form.pdf
File Size:	1415 kb
File Type:	pdf

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For those to whom have trouble Filling out the .PDF Please use Docfly.com, link below. 

Download the Patient Registration form .PDF and drag and drop into Docfly.com

Please email the completed document to: hwshoolscovid-19vaccine@hwschools.org