Corktown Health - Monkeypox Vaccine Clinic Scheduler

FREE Monkeypox Vaccine Clinic Scheduler

at Corktown Health, 1726 Howard Street, Detroit, MI
The CDC & MDHHS recommends you recieve a Monkeypox Vaccine if any of the following applies to you:
- Recent exposure to someone with confirmed or probable Monkeypox
- Have partners who engage in higher-risk sexual activities
- Plan to have close contact with others at a high-risk event or high-risk venue
- You are a man who has sex with men and have or plan to have two or more sexual partners
- You are a man who has sex with men and have a history of sexually transmitted infection in the last year
- If you are taking PrEP for HIV or living with HIV
- Engage in any type of sex work
Name *

Legal First Name Last Name
First Name Used
Email *
example@example.com
Date of Birth *

Month Day Year
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
County of Residency *
Phone Number *

Area Code Phone Number
Will this be your first (1st) or second (2nd) Monkeypox Vaccine? *
When was your first (1st) Monkeypox Vaccine given/administered? *

Month Day Year
The 2nd vaccine is given/administered 28-35 days after your 1st vaccine.
Schedule your appointment. *
By submitting I hereby confirm that the information I have given above is true.

By submitting I hereby agree to arrive to arrive 15 minutes before my scheduled appointment.

By submitting I agree if I am unable to make the appointment, I will call 313-832-3300 and cancel the appointment at least 24 hrs before the appointment.
Please verify that you are human *
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FREE Monkeypox Vaccine Clinic Scheduler