Complete all required fields on this form to schedule an appointment for your first COVID vaccine dose. If you have remaining questions, please call us at (414) 999-1099.
Section I. Personal Information
Section II. Health Insurance
This next section regards health insurance. The vaccine is free of charge to all people living in the United States, regardless of their immigration or health insurance status.
Section IV. Appointment Scheduler
**Vaccine supply is limited. Please keep your appointment or call if you need to cancel or change it. **
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