You will need to complete the next Intake and Consent forms electronically.
BEFORE YOU BEGIN this section, there are a few key things that will make things very easy for you, and please keep them handy. If not, please come back to this page later and finish it:
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You will have the option to
upload a digital version
of your I-693 form that you have filled out at the end of this form OR you can bring a printed copy to the office:
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Please refer to the PDF below on how to complete your form.
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Your COVID vaccine cards (you will take a picture and upload)
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Any immunization records/labs (you will have the option to take a picture and upload, or upload a PDF)
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Identification document copy (such as a passport, and you will upload or take a photo to upload)
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Insurance card (you will upload a photo)