Thank you for being a patient of PrimeCare. We have developed this form to allow our patients to express interest in receiving a COVID vaccine.
You have been directed here because:
- It is your time based on priority to receive a shot
- You are an established patient of ours.
If you are not 50 years or older at this time, please do not fill out this form at this time. We will contact you when a vaccine is available for you.
At this time we are looking for patients who may have a higher health risk and will be doing chart reviews. If you do not, that is great, you can still fill out the form and we will save your info for when we can offer one to you.
You only need to fill out this form one time. We will call you when we have a vaccine for you. Please do not call the office as this will slow down our ability to serve you.
If you are not a patient of ours, please contact the health department or a local pharmacy.
We are providing these vaccines through Ascension hospitals and are focusing on our highest risk patients at this time. We do not currently have the vaccine onsite and are sending to our partner site.
If you have received the vaccine already, we are happy for you and ask that you disregard this message. Thank you for understanding.