Welcome to FirstHealth’s COVID-19 Vaccine Pre-registration

I certify that the person I am scheduling is at least 12 years of age. Further, I hereby give my consent to the licensed health care provider administering the vaccine as applicable (each an “applicable provider”) to share the personal demographic and health condition information in order to provide vaccination services for the COVID-19 vaccine. Individuals between 12 and 17 years old must be accompanied by a parent or legal guardian to the vaccine appointment.