Vaccine Administration Forms In order to simplify your vaccine visit, we encourage you to download, print and complete the appropriate vaccine consent form(s) below. Please bring the completed form(s) with you at the time of your visit. Flu (Seasonal, Preservative Free & Fluzone High-Dose)English Spanish GARDASIL® series (HPV) Hepatitis A series Hepatitis B series Menactra (Meningitis) MMR (Measles, Mumps, Rubella) PPV (Pneumonia) Tdap (Tetanus, Diphtheria, Pertussis) Td (Tetanus Booster) Varicella series (Chicken Pox) Zostavax (Shingles)
Release of Medical Records Transfer or request copies of your personal medical record by downloading and completing the Release of Information form. View instructions on how to complete this form. Release of Medical Records