• COVID-19 Vaccine Appointment Form

    This form is for scheduling vaccination appointments for those 12 years and older. For appointments for those under 12 years of age, please return to our website healthygallatin.org
  • Please note that all appointments are being held at the Gallatin City-County Health Department located at 215 W Mendenhall St.

  • Personal Information

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  • Health Insurance

  • The vaccine is being provided at no cost.  Your insurace may be charged for the costs of adminstering your vaccination.

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  • Health Questions

  • Please note that if you have already recieved an updated bivalent booster, you are up to date and can NOT receive another booster shot yet.  If you are unsure if your last shot was a bivalent booster, you can look at the date of your last vaccination; if it was after 9/1/22 than you have already received a bivalent booster, if it was prior to 9/1/22 than you are still elligible for the bivalent booster.  If you are still unsure, you can call us at (406) 582-3163 and we can check your vaccination record.

  • Consent for Services

  • Please select the link to the corresponding desired vaccine to review the vaccine information prior to consenting & signing below.

    Pfizer (Comirnaty) vaccine info - https://www.fda.gov/media/153716/download

    Moderna (Spikevax) vaccine info - https://eua.modernatx.com/covid19vaccine-eua/bivalent-dose-recipient.pdf

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