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The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.
COVID-19 Forms
DOH Alachua COVID-19
- ACHDVaccine@flhealth.gov
- (352) 334-8810
Monday-Friday 8am-4:30pm, except on state observed holidays
COVID-19 Forms
Once you have successfully scheduled an appointment, please follow the appropriate link below to download the correct vaccine consent forms and fact sheet.
Formulario de consentimiento para la vacuna COVID-19
Pfizer:
Hoja informativa para la vacuna Pfizer para las edades 5-11
Pfizer Fact Sheet Age 12 and Up
Hoja informativa para la vacuna Pfizer para mayores de 12 años
Moderna:
Hoja informativa para la vacuna Moderna para las edades 6-11
Moderna Fact Sheet Age 12 and up
Hoja informativa para la vacuna Moderna para las mayores de 12 años
Johnson & Johnson:
Hoja informativa para la vacuna Johnson & Johnson
V-safe Safety & Monitoring:
Vaccine Safety & Monitoring (V-safe)
Monitoreo y seguridad de la vacuna (V-safe)
Notice of Privacy Practices:
Aviso de prácticas de privacidad
Student/Minor Testing and Vaccine Consent:
COVID-19 Testing Minor Consent Form
Formulario de consentimiento para menores de edad para la prueba de COVID-19
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