Please select the link to the corresponding desired vaccine to review the vaccine information & the Patient Privacy Practices link prior to consenting & signing below.
Covid-19 Vaccine Information Statement - https://www.cdc.gov/vaccines/hcp/vis/vis-statements/COVID-19.pdf
Influenza Vaccine Information Statement - https://www.cdc.gov/vaccines/hcp/vis/vis-statements/flu.pdf
Notice of Patient Privacy Practices: https://www.healthygallatin.org/wp-content/uploads/2021/06/Notice-of-Privacy-Practices-V-2.1-6.23.21.pdf