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COVID-19 Vaccine Clinic for Students 16+

Click here to sign up: https://www.signupgenius.com/go/StudentVaccines

The clinic will be held at the ESC of Northeast Ohio, 6393 Oak Tree Blvd., Independence, 44131 on May 4, 2021. 

Students should complete the Schools COVID Vaccination Form” PRIOR to arriving at the store clinic.

    • Print double-sided on 1 sheet of paper
    • Fill out ALL of the first page: All of the top portion (except insurance information), all 13 questions, and signature
  • Students should bring the following with them:
    • Proof of Date of Birth (i.e. Driver’s license, state issued ID, birth certificate)
    • Medical Insurance
    • AND Prescription Insurance, if separate
  • Students who are 16 or 17 years old must be accompanied by a parent or guardian
  • Arrive on time – PLEASE do not arrive more than 5 minutes before your scheduled appointment time
  • An Emergency Use Authorization Fact Sheet is attached to provide additional vaccine information to students and families
  • Wear short sleeves if possible
  • Wear a mask