CONSENT FORM: REQUIRED FOR ALL PARTICIPANTS

A completed COVID-19 Moderna Vaccine Screening and Consent Form is required for all participants, regardless of age. Please bring a printed copy with you to your first appointment. Choose your language, and click below to print and download the form.

MODERNA FACTS

The City of West Palm Beach will be providing free Moderna COVID-19 Vaccinations. You can learn more about the Moderna Vaccine by downloading the form below.