• Pediatric COVID Vaccine Appointment

    For Children 6 months to 11 years old
  • Please note that all appointments are being held at the Gallatin City-County Health Department located at 215 W Mendenhall St.

    For ages 12 and older, please return to our website:  https://healthygallatin.org

  • Personal Information of person being vaccinated

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  • Health Insurance

  • The cost of the vaccine should be covered by insurance companies or the VFC (Vaccines for Children) program.

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  • Health Questions

  • Consent for Services

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

    Pfizer COVID vaccine info - https://www.fda.gov/media/167212/download

    Moderna COVID vaccine info - https://www.fda.gov/media/167209/download?attachment

    Influenza vaccine info - https://www.cdc.gov/vaccines/hcp/vis/vis-statements/flu.pdf

    Please review the Notice of Privacy Practices.

    https://www.healthygallatin.org/wp-content/uploads/2021/06/Notice-of-Privacy-Practices-V-2.1-6.23.21.pdf

     

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