COVID-19 Vaccination Consent Form
COVID-19 vaccines are approved for different age groups.
The Pfizer vaccine has been approved for age 12 and older. Moderna and Janssen (Johnson & Johnson) vaccines are approved for age 18 or older.
For residents ages 12 or 17 to receive the Pfizer vaccine, they must either bring a parent or guardian to the vaccination site or provide a copy of the consent form signed by a parent or guardian.
Download the consent form here (print and sign):
The Centers for Disease Control and Prevention (CDC) has provided information about the Emergency Use Authorization (EUA) for the COVID-19 vaccines: